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General NPI Number Information
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NPI Number | 1639699184
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Entity Type | Organization
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Legal Business Name | SHOMAN CENTER FOR STRESS MANAGEMENT LLC
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Dates
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Enumeration Date | 06/26/2017
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Last Update Date | 06/26/2017
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Provider Practice Location Address
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Address Line | 6619 N SCOTTSDALE RD
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City | SCOTTSDALE
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State | AZ
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Zip | 85250-4421
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Country | US
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Telephone | 480-435-1030
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Fax |
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Provider Business Mailing Address
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Address Line | 4440 E MURIEL DR
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City | PHOENIX
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State | AZ
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Zip | 85032-9247
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | SOLE MEMBER
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Name | DEBORAH SHOMAN
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Credential | LCSW
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Telephone | 480-435-1030
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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 |
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License Number State |
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