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General NPI Number Information
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NPI Number | 1720933922
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Entity Type | Individual
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Provider Name | VARENA LYNN SMITH
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Gender | Female
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Dates
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Enumeration Date | 03/03/2026
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Last Update Date | 03/03/2026
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Provider Practice Location Address
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Address Line | 7600 E FLORENTINE RD STE 201
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City | PRESCOTT VALLEY
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State | AZ
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Zip | 86314-1314
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Country | US
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Telephone | 928-772-1610
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Fax | 928-772-1631
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Provider Business Mailing Address
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Address Line | 3450 N 3RD ST
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City | PHOENIX
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State | AZ
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Zip | 85012-2331
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Country | US
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Telephone | 602-351-6986
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Fax | 602-801-3338
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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-24615
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License Number State | AZ
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