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General NPI Number Information
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NPI Number | 1316466832
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Entity Type | Individual
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Provider Name | NICOLE LYNN ABDUL-BARI LCSW
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Gender | Female
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Dates
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Enumeration Date | 09/15/2017
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Last Update Date | 04/07/2025
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Provider Practice Location Address
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Address Line | 650 E INDIAN SCHOOL RD BLDG 31
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City | PHOENIX
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State | AZ
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Zip | 85012-1839
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Country | US
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Telephone | 602-784-8853
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Fax |
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Provider Business Mailing Address
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Address Line | 123 W CHANDLER HEIGHTS RD UNIT 12786
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City | CHANDLER
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State | AZ
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Zip | 85248-1073
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Country | US
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Telephone | 480-386-3828
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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 | 8498-C
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LCSW-20569
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License Number State | AZ
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