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General NPI Number Information
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NPI Number | 1538616966
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Entity Type | Organization
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Legal Business Name | AVANTE COUNSELING, LLC
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Dates
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Enumeration Date | 09/01/2016
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Last Update Date | 09/05/2016
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Provider Practice Location Address
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Address Line | 6232 N 7TH ST SUITE 204
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City | PHOENIX
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State | AZ
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Zip | 85014-1839
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Country | US
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Telephone | 602-903-9005
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Fax | 602-265-1482
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Provider Business Mailing Address
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Address Line | 19619 N 6TH PL
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City | PHOENIX
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State | AZ
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Zip | 85024-1618
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Country | US
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Telephone | 602-903-9005
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. NOE VARGAS
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Credential | DBH, LPC
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Telephone | 602-903-9005
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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-13420
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License Number State | AZ
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