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General NPI Number Information
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NPI Number | 1376652586
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Entity Type | Individual
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Provider Name | EVELYN CHARLOTTE TRONE LCSW
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Gender | Female
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Dates
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Enumeration Date | 08/30/2006
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Last Update Date | 08/01/2013
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Provider Practice Location Address
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Address Line | 2260 S. 4TH AVE. STE 2 A DESERT COUNSELING AND RECOVERY SERVICE
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City | YUMA
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State | AZ
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Zip | 85364
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Country | US
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Telephone | 928-373-8041
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Fax | 928-259-2501
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Provider Business Mailing Address
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Address Line | 10732 E 34TH PL
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City | YUMA
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State | AZ
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Zip | 85365-7076
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Country | US
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Telephone | 928-783-3706
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LCSW-12122
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License Number State | AZ
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