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General NPI Number Information
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NPI Number | 1285092049
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Entity Type | Organization
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Legal Business Name | ACT COUNSELING AND EDUCATION
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Dates
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Enumeration Date | 02/08/2016
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Last Update Date | 02/08/2016
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Provider Practice Location Address
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Address Line | 5010 E SHEA BLVD SUITE 202 D
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City | SCOTTSDALE
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State | AZ
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Zip | 85254-4681
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Country | US
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Telephone | 602-349-0372
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Fax |
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Provider Business Mailing Address
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Address Line | 601 E UTOPIA RD
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City | PHOENIX
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State | AZ
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Zip | 85024-2276
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Country | US
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Telephone | 602-349-0372
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Fax |
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Authorized Official
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Title or Position | COUNSELOR
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Name | MRS. SUYAPA MILAGRO FIGUEROA
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Credential | LASAC
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Telephone | 602-349-0372
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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 | 15148
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License Number State | AZ
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