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General NPI Number Information
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NPI Number | 1720633167
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Entity Type | Individual
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Provider Name | ASHLEE RINCON
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Gender | Female
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Dates
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Enumeration Date | 08/02/2019
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Last Update Date | 08/02/2019
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Provider Practice Location Address
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Address Line | 10752 N 89TH PL STE 227C
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City | SCOTTSDALE
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State | AZ
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Zip | 85260-6745
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Country | US
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Telephone | 480-744-3040
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Fax | 928-272-0828
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Provider Business Mailing Address
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Address Line | 10752 N 89TH PL STE 227C
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City | SCOTTSDALE
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State | AZ
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Zip | 85260-6745
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Country | US
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Telephone | 480-744-3040
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Fax | 928-272-0828
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PSY-005120
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License Number State | AZ
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