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General NPI Number Information
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NPI Number | 1508745993
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Entity Type | Individual
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Provider Name | TALIA MARIE SCHELETSKY LMSW
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Gender | Female
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Dates
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Enumeration Date | 08/29/2025
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Last Update Date | 08/29/2025
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Provider Practice Location Address
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Address Line | 801 W SOUTHERN AVE
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City | APACHE JUNCTION
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State | AZ
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Zip | 85120-7416
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Country | US
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Telephone | 480-677-7565
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Fax |
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Provider Business Mailing Address
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Address Line | 1575 W SOUTHERN AVE
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City | APACHE JUNCTION
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State | AZ
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Zip | 85120-7456
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Country | US
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Telephone | 480-982-1110
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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 | 1041S0200X
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Taxonomy Name | School Social Worker
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License Number | LMSW13290
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License Number State | AZ
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