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General NPI Number Information
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NPI Number | 1194855981
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Entity Type | Individual
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Provider Name | KARLAYE DIMANCHE-RAFINDADI PH.D
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Gender | Female
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Dates
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Enumeration Date | 03/07/2007
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Last Update Date | 04/04/2025
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Provider Practice Location Address
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Address Line | 2240 WINROW RD
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City | FORT HUACHUCA
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State | AZ
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Zip | 85613-5080
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Country | US
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Telephone | 520-533-5161
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Fax |
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Provider Business Mailing Address
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Address Line | 2240 WINROW RD
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City | FORT HUACHUCA
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State | AZ
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Zip | 85613-5080
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Country | US
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Telephone | 520-533-5161
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 000411
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 103TB0200X
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Taxonomy Name | Cognitive & Behavioral Psychologist
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License Number | 4045
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License Number State | AZ
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Taxonomy #3
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Taxonomy Code | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number | 4045
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License Number State | AZ
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Taxonomy #4
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Taxonomy Code | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number |
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License Number State | AZ
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Taxonomy #5
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 4045
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License Number State | AZ
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