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General NPI Number Information
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NPI Number | 1063532950
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Entity Type | Individual
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Provider Name | MARY ANNE KALIL L.M.S.W.
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Gender | Female
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Dates
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Enumeration Date | 04/02/2007
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Last Update Date | 05/22/2015
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Provider Practice Location Address
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Address Line | 4525 CAMPUS DR
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City | SIERRA VISTA
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State | AZ
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Zip | 85635-2232
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Country | US
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Telephone | 520-459-3011
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Fax |
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Provider Business Mailing Address
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Address Line | 4655 N COMMERCE DR
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City | SIERRA VISTA
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State | AZ
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Zip | 85635-2497
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Country | US
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Telephone | 520-459-3012
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Fax | 520-459-3207
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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 |
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License Number State |
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