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General NPI Number Information
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NPI Number | 1225414915
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Entity Type | Organization
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Legal Business Name | THE EMPOWERMENT GROUP
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Dates
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Enumeration Date | 08/04/2015
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Last Update Date | 08/04/2015
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Provider Practice Location Address
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Address Line | 10201 S 51ST ST STE #130
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City | PHOENIX
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State | AZ
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Zip | 85044-5215
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Country | US
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Telephone | 602-525-5783
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Fax |
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Provider Business Mailing Address
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Address Line | 10201 S 51ST ST STE #130
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City | PHOENIX
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State | AZ
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Zip | 85044-5215
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Country | US
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Telephone | 602-525-5783
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Fax |
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Authorized Official
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Title or Position | DIRECTOR / THERAPIST
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Name | MELISSA COX-PASQUA
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Credential | LPC, RN
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Telephone | 602-525-5783
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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 | LPC13764
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License Number State | AZ
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