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General NPI Number Information
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NPI Number | 1043840028
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Entity Type | Individual
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Provider Name | ELIZABETH PACHECO MC
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Gender | Female
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Dates
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Enumeration Date | 01/18/2020
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Last Update Date | 02/09/2026
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Provider Practice Location Address
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Address Line | 9935 S MIDLAND DR
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City | APACHE JUNCTION
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State | AZ
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Zip | 85120-7157
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Country | US
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Telephone | 719-210-7162
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Fax |
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Provider Business Mailing Address
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Address Line | 3050 W AGUA FRIA FWY
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City | PHOENIX
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State | AZ
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Zip | 85027-3946
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Country | US
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Telephone | 602-802-8386
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Fax | 623-234-4774
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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 | 19167
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 4902
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License Number State | CO
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