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General NPI Number Information
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NPI Number | 1710184114
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Entity Type | Organization
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Legal Business Name | MKEL LIMITED
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Dates
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Enumeration Date | 06/28/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 2601 N 3RD ST
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City | PHOENIX
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State | AZ
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Zip | 85004-1104
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Country | US
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Telephone | 602-402-4226
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Fax |
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Provider Business Mailing Address
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Address Line | 10214 N CENTRAL AVE
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City | PHOENIX
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State | AZ
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Zip | 85020-1047
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Country | US
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Telephone | 602-402-4226
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Fax |
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Authorized Official
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Title or Position | GENERAL COUNSEL
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Name | MR. MICHAEL H IRVINE
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Credential | JD
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Telephone | 602-402-4226
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 3482
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 3482
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License Number State | AZ
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Taxonomy #3
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Taxonomy Code | 103TF0000X
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Taxonomy Name | Family Psychologist
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License Number | 3482
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License Number State | AZ
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