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General NPI Number Information
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NPI Number | 1184493199
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Entity Type | Individual
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Provider Name | MRS. ERIN ELIZABETH REGAN
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Gender | Female
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Dates
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Enumeration Date | 01/02/2024
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Last Update Date | 01/02/2024
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Provider Practice Location Address
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Address Line | 15455 N GREENWAY HAYDEN LOOP STE C9
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City | SCOTTSDALE
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State | AZ
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Zip | 85260-1887
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Country | US
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Telephone | 480-418-8161
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Fax |
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Provider Business Mailing Address
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Address Line | 21838 N 40TH PL
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City | PHOENIX
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State | AZ
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Zip | 85050-7224
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Country | US
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Telephone | 928-502-2489
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | LMSW-15364
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License Number State | AZ
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