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General NPI Number Information
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NPI Number | 1982782199
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Entity Type | Organization
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Legal Business Name | ARIZONA MENTAL HEALTH INSTITUTE LLC
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Dates
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Enumeration Date | 11/02/2006
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 10019 N 41ST DR
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City | PHOENIX
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State | AZ
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Zip | 85051-1016
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Country | US
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Telephone | 602-824-3717
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Fax |
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Provider Business Mailing Address
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Address Line | 10019 N 41ST DR
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City | PHOENIX
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State | AZ
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Zip | 85051-1016
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Country | US
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Telephone | 602-824-3717
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | CYNTHIA KAY TOBIN
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Credential | ANP
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Telephone | 602-824-3717
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | RN113748
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License Number State | AZ
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