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General NPI Number Information
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NPI Number | 1740551134
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Entity Type | Individual
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Provider Name | JANINE LEE KLABE LCSW
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Gender | Female
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Dates
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Enumeration Date | 01/18/2012
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Last Update Date | 01/18/2012
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Provider Practice Location Address
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Address Line | 8902 E VIA LINDA #110-163
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City | SCOTTSDALE
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State | AZ
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Zip | 85258
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Country | US
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Telephone | 303-946-5003
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Fax |
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Provider Business Mailing Address
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Address Line | 1419 EAST PALMDALE DRIVE
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City | TEMPE
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State | AZ
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Zip | 85282
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Country | US
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Telephone | 480-968-7788
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | SW-1420
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License Number State | AZ
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