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General NPI Number Information
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NPI Number | 1609833888
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Entity Type | Individual
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Provider Name | SUE Y THAM MSW
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Gender | Female
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Dates
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Enumeration Date | 04/30/2006
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 5920 E PIMA ST SUITE # 140
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City | TUCSON
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State | AZ
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Zip | 85712-4306
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Country | US
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Telephone | 520-733-2524
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Fax | 520-733-3444
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Provider Business Mailing Address
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Address Line | 5920 E PIMA ST SUITE # 140
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City | TUCSON
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State | AZ
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Zip | 85712-4306
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Country | US
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Telephone | 520-733-2524
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Fax | 520-733-3444
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LCSW-2730
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License Number State | AZ
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