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General NPI Number Information
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NPI Number | 1700280609
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Entity Type | Individual
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Provider Name | TONGA THERESE BRYANT LPC
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Gender | Female
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Dates
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Enumeration Date | 10/21/2014
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Last Update Date | 10/08/2023
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Provider Practice Location Address
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Address Line | 5151 N 16TH ST APT 1010
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City | PHOENIX
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State | AZ
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Zip | 85016-3807
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Country | US
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Telephone | 480-420-9603
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Fax | 480-393-7142
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Provider Business Mailing Address
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Address Line | 1701 E COLTER ST UNIT 202
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City | PHOENIX
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State | AZ
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Zip | 85016-3374
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Country | US
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Telephone | 480-420-9603
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Fax | 480-393-7142
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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 | 4694
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License Number State | LA
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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 | 18871
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License Number State | AZ
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