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General NPI Number Information
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NPI Number | 1053556456
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Entity Type | Individual
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Provider Name | BEVERLY G RITLAND LCSW, M.DIV
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Gender | Female
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Dates
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Enumeration Date | 12/13/2008
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Last Update Date | 07/28/2015
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Provider Practice Location Address
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Address Line | 15152 N FRANK LLOYD WRIGHT BLVD
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City | SCOTTSDALE
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State | AZ
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Zip | 85260-2869
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Country | US
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Telephone | 602-810-0933
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Fax | 623-266-7030
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Provider Business Mailing Address
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Address Line | 2550 E ROSE GARDEN LN #71155
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City | PHOENIX
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State | AZ
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Zip | 85050-7700
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Country | US
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Telephone | 602-810-0933
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Fax | 623-266-7030
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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 | 11087
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License Number State | AZ
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