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General NPI Number Information
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NPI Number | 1699617019
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Entity Type | Individual
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Provider Name | REGINA A. MCMANIGELL LAC-22707
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Gender | Female
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Dates
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Enumeration Date | 04/06/2026
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Last Update Date | 04/08/2026
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Provider Practice Location Address
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Address Line | 501 E PLAZA CIR STE B
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City | LITCHFIELD PARK
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State | AZ
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Zip | 85340-4917
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Country | US
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Telephone | 623-516-9392
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Fax | 866-516-9392
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Provider Business Mailing Address
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Address Line | 16772 W BELL RD STE 110-181
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City | SURPRISE
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State | AZ
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Zip | 85374-9702
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Country | US
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Telephone | 602-727-2230
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LAC-22707
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License Number State | AZ
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