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General NPI Number Information
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NPI Number | 1083026603
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Entity Type | Individual
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Provider Name | BIANCA ANGELICA MOCHA LPC
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Gender | Female
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Dates
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Enumeration Date | 06/02/2014
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Last Update Date | 10/31/2025
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Provider Practice Location Address
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Address Line | 2550 W UNION HILLS DR
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City | PHOENIX
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State | AZ
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Zip | 85027-5163
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Country | US
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Telephone | 323-205-7088
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Fax | 833-419-0181
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Provider Business Mailing Address
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Address Line | PO BOX 417147
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City | BOSTON
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State | MA
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Zip | 02241-7147
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Country | US
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Telephone | 518-952-8140
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Fax | 518-952-8287
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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 | 19772
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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