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General NPI Number Information
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NPI Number | 1689065005
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Entity Type | Individual
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Provider Name | LIZ PLOTKIN PHD
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Gender | Female
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Dates
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Enumeration Date | 02/06/2015
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Last Update Date | 01/22/2021
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Provider Practice Location Address
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Address Line | 9855 S PRIEST DR STE 102
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City | TEMPE
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State | AZ
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Zip | 85284-3605
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Country | US
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Telephone | 480-616-4141
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 11373
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City | CHANDLER
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State | AZ
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Zip | 85248-0007
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Country | US
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Telephone | 480-616-4141
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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 | LPC-13990
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LPC-13990
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License Number State | AZ
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