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General NPI Number Information
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NPI Number | 1376349183
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Entity Type | Individual
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Provider Name | MICAELA REECE-WILLIAMS PSYD
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Gender |
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Dates
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Enumeration Date | 02/21/2025
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Last Update Date | 02/21/2025
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Provider Practice Location Address
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Address Line | 10000 S WILMOT RD
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City | TUCSON
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State | AZ
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Zip | 85756-8699
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Country | US
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Telephone | 520-574-0024
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Fax |
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Provider Business Mailing Address
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Address Line | 5045 W BASELINE RD, A105 210
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City | LAVEEN
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State | AZ
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Zip | 85339
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Country | US
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Telephone | 609-961-1234
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PSY-005861
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License Number State | AZ
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