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General NPI Number Information
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NPI Number | 1689793887
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Entity Type | Individual
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Provider Name | MARCIA CONLEY M.A. L.P.C.
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Gender | Female
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Dates
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Enumeration Date | 03/28/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 11024 N 28TH DR SUITE 200
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City | PHOENIX
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State | AZ
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Zip | 85029-4377
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Country | US
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Telephone | 602-866-0230
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Fax | 602-374-4191
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Provider Business Mailing Address
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Address Line | 11024 N 28TH. DRIVE SUITE 200
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City | PHOENIX
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State | AZ
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Zip | 85029-4336
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Country | US
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Telephone | 602-866-0230
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Fax | 602-374-4191
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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-0878
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License Number State | AZ
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