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General NPI Number Information
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NPI Number | 1306374392
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Entity Type | Individual
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Provider Name | ANNA TERESA JONES LCSW
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Gender | Female
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Dates
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Enumeration Date | 06/02/2017
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Last Update Date | 06/02/2017
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Provider Practice Location Address
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Address Line | 8751 N 51ST AVE STE 121E
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City | GLENDALE
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State | AZ
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Zip | 85302-4941
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Country | US
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Telephone | 602-814-7580
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Fax |
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Provider Business Mailing Address
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Address Line | 1261 E VOLTAIRE AVE
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City | PHOENIX
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State | AZ
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Zip | 85022-4963
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Country | US
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Telephone | 602-703-5807
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LCSW-16664
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License Number State | AZ
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