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General NPI Number Information
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NPI Number | 1558340588
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Entity Type | Individual
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Provider Name | STEPHANIE NEIDERMYER LMFT, LLC
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Gender | Female
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Dates
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Enumeration Date | 01/09/2006
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Last Update Date | 07/17/2020
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Provider Practice Location Address
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Address Line | 7440 N ORACLE RD BLDG 7
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City | TUCSON
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State | AZ
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Zip | 85704-6371
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Country | US
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Telephone | 520-333-7618
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Fax | 520-376-1730
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Provider Business Mailing Address
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Address Line | PO BOX 68485
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City | ORO VALLEY
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State | AZ
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Zip | 85737-8485
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Country | US
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Telephone | 520-820-8871
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Fax | 520-376-1730
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 10427
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License Number State | AZ
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