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General NPI Number Information
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NPI Number | 1629055975
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Entity Type | Individual
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Provider Name | ELAINE MARIE MAHER LCSW
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Gender | Female
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Dates
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Enumeration Date | 12/28/2005
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Last Update Date | 02/14/2025
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Provider Practice Location Address
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Address Line | 1740 S DESERT VISTA DR
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City | TUCSON
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State | AZ
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Zip | 85748-7503
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Country | US
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Telephone | 808-551-2251
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Fax |
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Provider Business Mailing Address
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Address Line | 1740 S DESERT VISTA DR
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City | TUCSON
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State | AZ
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Zip | 85748-7503
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Country | US
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Telephone | 808-551-2251
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 61370884
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 3207
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License Number State | HI
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LC24311
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License Number State | ME
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Taxonomy #4
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LCSW-17658
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License Number State | AZ
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