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General NPI Number Information
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NPI Number | 1730790197
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Entity Type | Individual
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Provider Name | BRITTANY SAGE MCCORD MA
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Gender | Female
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Dates
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Enumeration Date | 08/11/2020
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Last Update Date | 01/16/2024
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Provider Practice Location Address
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Address Line | 2525 E ARIZONA BILTMORE CIR STE B220
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City | PHOENIX
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State | AZ
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Zip | 85016-2133
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Country | US
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Telephone | 602-456-2656
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Fax |
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Provider Business Mailing Address
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Address Line | 3104 E CAMELBACK RD # 2707
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City | PHOENIX
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State | AZ
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Zip | 85016-4502
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Country | US
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Telephone | 602-456-2656
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Fax |
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | LAMFT-10611
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | LMFT-15666
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License Number State | AZ
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