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General NPI Number Information
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NPI Number | 1679234777
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Entity Type | Individual
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Provider Name | DEBORAH LYNN MULGREW LMSW
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Gender | Female
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Dates
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Enumeration Date | 01/01/2022
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Last Update Date | 01/01/2022
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Provider Practice Location Address
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Address Line | 21321 E OCOTILLO RD STE 113
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City | QUEEN CREEK
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State | AZ
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Zip | 85142-5994
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Country | US
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Telephone | 480-493-5799
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Fax | 888-975-3287
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Provider Business Mailing Address
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Address Line | 5132 E EMELITA CIR
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City | MESA
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State | AZ
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Zip | 85206-2881
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Country | US
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Telephone | 480-567-2728
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | LMSW-18800
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License Number State | AZ
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