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General NPI Number Information
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NPI Number | 1104166271
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Entity Type | Organization
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Legal Business Name | ADVANCED COUNSELING, PLLC
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Dates
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Enumeration Date | 02/26/2013
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Last Update Date | 02/26/2013
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Provider Practice Location Address
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Address Line | 36800 N SIDEWINDER RD C23
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City | CAREFREE
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State | AZ
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Zip | 85377-2382
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Country | US
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Telephone | 480-980-6308
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Fax | 480-488-1904
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Provider Business Mailing Address
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Address Line | PO BOX 2382
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City | CAREFREE
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State | AZ
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Zip | 85377-2382
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Country | US
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Telephone | 480-980-6308
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Fax | 480-488-1904
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Authorized Official
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Title or Position | OWNER
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Name | DR. VALLERY COATS
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Credential |
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Telephone | 480-980-6308
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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