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General NPI Number Information
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NPI Number | 1639535891
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Entity Type | Individual
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Provider Name | KERI SIPEK M.A.
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Gender | Female
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Dates
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Enumeration Date | 01/04/2016
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Last Update Date | 01/13/2025
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Provider Practice Location Address
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Address Line | 4501 N 22ND ST STE 290
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City | PHOENIX
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State | AZ
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Zip | 85016-0603
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Country | US
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Telephone | 480-942-7474
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Fax |
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Provider Business Mailing Address
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Address Line | 4501 N 22ND ST STE 290
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City | PHOENIX
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State | AZ
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Zip | 85016-0603
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Country | US
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Telephone | 480-942-7474
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 16252
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License Number State | AZ
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