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General NPI Number Information
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NPI Number | 1407247091
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Entity Type | Individual
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Provider Name | CYNTHIA STAHURA PSY.D.
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Gender | Female
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Dates
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Enumeration Date | 02/18/2015
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Last Update Date | 06/11/2023
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Provider Practice Location Address
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Address Line | 17220 N BOSWELL BLVD STE 206
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City | SUN CITY
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State | AZ
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Zip | 85373-2070
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Country | US
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Telephone | 928-228-0346
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Fax | 844-464-1201
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Provider Business Mailing Address
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Address Line | 17807 N PALO VERDE DR
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City | SUN CITY
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State | AZ
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Zip | 85373-2143
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Country | US
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Telephone | 602-751-3592
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 4601
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License Number State | AZ
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