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General NPI Number Information
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NPI Number | 1033268560
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Entity Type | Individual
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Provider Name | DONNA ALEXIS PIETREWICZ MSW, LCSW
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Gender | Female
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Dates
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Enumeration Date | 01/10/2007
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 10799 N 90TH ST STE 100
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City | SCOTTSDALE
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State | AZ
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Zip | 85260-6110
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Country | US
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Telephone | 480-804-0326
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Fax | 480-804-0083
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Provider Business Mailing Address
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Address Line | 1400 E. SOUTHERN AVE STE. 735
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City | TEMPE
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State | AZ
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Zip | 85282-5998
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Country | US
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Telephone | 480-804-0326
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Fax | 480-887-9685
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LCSW-11773
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License Number State | AZ
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