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General NPI Number Information
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NPI Number | 1639879950
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Entity Type | Individual
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Provider Name | CHRISTINE SPIWAK
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Gender | Female
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Dates
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Enumeration Date | 03/06/2023
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Last Update Date | 03/06/2023
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Provider Practice Location Address
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Address Line | 1500 N PRIEST DR # 109
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City | TEMPE
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State | AZ
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Zip | 85288-1213
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Country | US
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Telephone | 702-589-4871
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Fax |
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Provider Business Mailing Address
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Address Line | 5506 W DEL RIO CT
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City | CHANDLER
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State | AZ
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Zip | 85226-1878
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Country | US
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Telephone | 480-297-2684
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 19983
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License Number State | AZ
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