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General NPI Number Information
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NPI Number | 1659980894
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Entity Type | Organization
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Legal Business Name | CYNTHIA HAUSER LCSW LLC
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Dates
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Enumeration Date | 07/23/2020
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Last Update Date | 07/23/2020
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Provider Practice Location Address
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Address Line | 4600 E SHEA BLVD STE 200
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City | PHOENIX
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State | AZ
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Zip | 85028-6058
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Country | US
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Telephone | 480-313-0020
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Fax |
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Provider Business Mailing Address
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Address Line | 901 E BERRIDGE LN
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City | PHOENIX
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State | AZ
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Zip | 85014-1909
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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 | OWNER
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Name | CYNTHIA HAUSER
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Credential | MSW, LCSW
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Telephone | 480-313-0020
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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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