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General NPI Number Information
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NPI Number | 1447857727
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Entity Type | Individual
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Provider Name | STEPHANIE LYNN HARRIS LCSW, CADC
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Gender | Female
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Dates
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Enumeration Date | 10/08/2020
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Last Update Date | 10/15/2024
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Provider Practice Location Address
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Address Line | 8955 E PINNACLE PEAK RD STE 102
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City | SCOTTSDALE
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State | AZ
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Zip | 85255-3624
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Country | US
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Telephone | 480-944-9400
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Fax |
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Provider Business Mailing Address
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Address Line | 14208 E WESTLAND RD
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City | SCOTTSDALE
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State | AZ
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Zip | 85262-6201
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Country | US
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Telephone | 219-242-1451
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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 |
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License Number State |
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