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General NPI Number Information
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NPI Number | 1003569526
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Entity Type | Individual
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Provider Name | YVONNE NATALIE GARCIA LPC
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Gender | Female
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Dates
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Enumeration Date | 02/03/2022
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Last Update Date | 02/03/2022
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Provider Practice Location Address
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Address Line | 2255 W NORTHERN AVE
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City | PHOENIX
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State | AZ
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Zip | 85021-4936
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Country | US
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Telephone | 602-242-1238
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Fax |
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Provider Business Mailing Address
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Address Line | 1505 N CENTRAL AVE APT 543
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City | PHOENIX
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State | AZ
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Zip | 85004-1731
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Country | US
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Telephone | 623-308-0028
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LPC-20558
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License Number State | AZ
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