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General NPI Number Information
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NPI Number | 1497042337
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Entity Type | Individual
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Provider Name | GUSTAVO FRANZA M.A.
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Gender | Male
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Dates
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Enumeration Date | 06/29/2011
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Last Update Date | 09/13/2021
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Provider Practice Location Address
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Address Line | 2524 E INDIAN SCHOOL RD
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City | PHOENIX
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State | AZ
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Zip | 85016-6737
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Country | US
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Telephone | 213-385-5100
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Fax |
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Provider Business Mailing Address
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Address Line | 8607 S 22ND PL
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City | PHOENIX
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State | AZ
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Zip | 85042-8145
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Country | US
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Telephone | 602-430-1458
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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 | PSY-004503
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number | PSY-004503
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License Number State | AZ
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Taxonomy #3
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Taxonomy Code | 103TF0000X
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Taxonomy Name | Family Psychologist
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License Number | PSY-004503
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License Number State | AZ
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Taxonomy #4
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Taxonomy Code | 103TF0200X
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Taxonomy Name | Forensic Psychologist
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License Number | PSY-004503
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License Number State | AZ
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