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General NPI Number Information
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NPI Number | 1679704803
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Entity Type | Individual
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Provider Name | VICTORIA LYNN LOMELINO-TEWA LPC
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Gender | Female
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Dates
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Enumeration Date | 08/05/2009
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Last Update Date | 09/25/2025
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Provider Practice Location Address
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Address Line | 2 N CENTRAL AVE FL 18
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City | PHOENIX
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State | AZ
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Zip | 85004-2322
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Country | US
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Telephone | 646-453-6777
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Fax | 929-596-7897
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Provider Business Mailing Address
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Address Line | 9298 SLAYTON RANCH RD
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City | FLAGSTAFF
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State | AZ
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Zip | 86004-3373
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Country | US
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Telephone | 505-205-6215
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 0115211
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License Number State | NM
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 16273
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License Number State | AZ
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