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General NPI Number Information
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NPI Number | 1730008871
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Entity Type | Individual
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Provider Name | JENNIFER GUADALUPE GIL
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Gender | Female
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Dates
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Enumeration Date | 07/13/2026
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Last Update Date | 07/13/2026
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Provider Practice Location Address
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Address Line | 300 W CLARENDON AVE STE 470
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City | PHOENIX
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State | AZ
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Zip | 85013-3475
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Country | US
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Telephone | 602-730-4450
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Fax | 602-391-2522
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Provider Business Mailing Address
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Address Line | 300 WEST CLARENDON PHOENIX, ARIZONA 85013 #470
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City | PHOENIX
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State | AZ
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Zip | 85013
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Country | US
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Telephone | 602-730-4450
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Fax | 602-391-2522
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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-22571
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License Number State | AZ
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