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General NPI Number Information
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NPI Number | 1518169424
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Entity Type | Individual
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Provider Name | MRS. JANE H MONACHELLI
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Gender | Female
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Dates
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Enumeration Date | 06/03/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1121 E MISSOURI AVE STE 104
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City | PHOENIX
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State | AZ
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Zip | 85014-2723
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Country | US
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Telephone | 602-234-0907
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Fax | 602-926-8800
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Provider Business Mailing Address
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Address Line | 17 E ORANGE DR
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City | PHOENIX
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State | AZ
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Zip | 85012-1427
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Country | US
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Telephone | 602-234-0907
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Fax | 602-926-8800
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LPC-0560
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License Number State | AZ
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