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General NPI Number Information
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NPI Number | 1518411958
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Entity Type | Individual
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Provider Name | NATALIA KAZAKOVA MS, PSYD
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Gender | Female
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Dates
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Enumeration Date | 08/14/2016
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Last Update Date | 11/01/2023
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Provider Practice Location Address
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Address Line | 11221 N 28TH DRIVE BUILDING E
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City | PHOENIX
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State | AZ
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Zip | 85029-4218
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Country | US
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Telephone | 602-316-0724
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Fax |
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Provider Business Mailing Address
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Address Line | 1616 N CENTRAL AVENUE
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City | PHOENIX
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State | AZ
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Zip | 85004
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Country | US
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Telephone |
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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-005610
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PSY-005610
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License Number State | AZ
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