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General NPI Number Information
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NPI Number | 1477447696
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Entity Type | Individual
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Provider Name | BLANCA LILIANA RAYMOND
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Gender | Female
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Dates
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Enumeration Date | 06/03/2025
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Last Update Date | 06/03/2025
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Provider Practice Location Address
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Address Line | 1375 N SCOTTSDALE RD STE 200
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City | SCOTTSDALE
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State | AZ
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Zip | 85257-3429
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Country | US
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Telephone | 480-877-9284
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Fax |
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Provider Business Mailing Address
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Address Line | 11642 W WESTERN AVE
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City | AVONDALE
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State | AZ
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Zip | 85323-9128
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Country | US
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Telephone | 602-550-1737
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 18261
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License Number State | AZ
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