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NPI 1578633467

NPI 1578633467 : STEVE CURTIS ROY LPC : TEMPE, AZ

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General NPI Number Information
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    NPI Number           |    1578633467
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    Entity Type          |    Individual 
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    Provider Name        |    STEVE CURTIS ROY LPC
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    11/08/2006
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    1232 E BROADWAY RD STE 120 
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    City                 |    TEMPE
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    State                |    AZ
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    Zip                  |    85282-1510
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    Country              |    US
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    Telephone            |    480-784-1514
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2951 S CALLE NOVENTA 
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    City                 |    MESA
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    State                |    AZ
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    Zip                  |    85212-2807
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    Country              |    US
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    Telephone            |    480-380-1141
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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        |    101YM0800X
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    Taxonomy Name        |    Mental Health Counselor
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    License Number       |    LPC-10895
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    License Number State |    AZ
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