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General NPI Number Information
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NPI Number | 1508372236
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Entity Type | Organization
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Legal Business Name | TATIANA DAUGHTREY LLC
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Dates
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Enumeration Date | 12/18/2017
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Last Update Date | 09/22/2025
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Provider Practice Location Address
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Address Line | 428 S GILBERT RD STE 105
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City | GILBERT
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State | AZ
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Zip | 85296-2261
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Country | US
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Telephone | 480-788-2898
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Fax | 888-553-2642
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Provider Business Mailing Address
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Address Line | 428 S GILBERT RD STE 105
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City | GILBERT
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State | AZ
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Zip | 85296-2261
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Country | US
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Telephone | 480-788-2898
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Fax | 888-553-2642
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Authorized Official
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Title or Position | OWNER
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Name | TATIANA DAUGHTREY COFFMAN
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Credential | LCSW, IBCLC, PMH-C
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Telephone | 480-788-2898
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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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