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General NPI Number Information
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NPI Number | 1982409868
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Entity Type | Organization
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Legal Business Name | DESERT ROSE NEUROPSYCHOLOGY PLLC
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Dates
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Enumeration Date | 02/15/2025
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Last Update Date | 08/18/2025
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Provider Practice Location Address
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Address Line | 13430 N SCOTTSDALE RD STE 204
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City | SCOTTSDALE
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State | AZ
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Zip | 85254-4058
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Country | US
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Telephone | 305-986-1148
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Fax |
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Provider Business Mailing Address
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Address Line | 13430 N SCOTTSDALE RD STE 204
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City | SCOTTSDALE
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State | AZ
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Zip | 85254-4058
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Country | US
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Telephone | 480-569-2244
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Fax | 480-885-2587
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | DR. AMBER LEIGH MAHAN
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Credential | PSY.D.
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Telephone | 305-986-1148
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number |
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License Number State |
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