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NPI 1639357916

NPI 1639357916 : DENISE M UNKS MC : SCOTTSDALE, AZ

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General NPI Number Information
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    NPI Number           |    1639357916
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    Entity Type          |    Individual 
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    Provider Name        |    DENISE M UNKS MC
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    02/08/2008
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    Last Update Date     |    02/08/2008
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Provider Practice Location Address
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    Address Line         |    4930 E GREENWAY RD 
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    City                 |    SCOTTSDALE
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    State                |    AZ
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    Zip                  |    85254-1625
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    Country              |    US
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    Telephone            |    602-818-6216
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    Fax                  |    602-485-1634
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Provider Business Mailing Address
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    Address Line         |    5532 E GRANDVIEW RD 
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    City                 |    SCOTTSDALE
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    State                |    AZ
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    Zip                  |    85254-1190
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    Country              |    US
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    Telephone            |    602-818-6216
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    Fax                  |    602-485-1634
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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        |    101YP2500X
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    Taxonomy Name        |    Professional Counselor
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    License Number       |    LPC-11836
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    License Number State |    AZ
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