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General NPI Number Information
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NPI Number | 1053297135
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Entity Type | Individual
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Provider Name | BERTHA YADIRA MORALES
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Gender | Female
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Dates
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Enumeration Date | 08/13/2025
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Last Update Date | 08/13/2025
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Provider Practice Location Address
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Address Line | 4500 N 32ND ST STE 201J
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City | PHOENIX
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State | AZ
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Zip | 85018-0003
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Country | US
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Telephone | 602-922-6456
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 5291
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City | GOODYEAR
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State | AZ
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Zip | 85338-0604
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Country | US
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Telephone |
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LCSW-23222
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License Number State | AZ
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