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General NPI Number Information
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NPI Number | 1740815455
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Entity Type | Individual
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Provider Name | ESTHER JOYLINE CYNTHIA MA LPC
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Gender | Female
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Dates
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Enumeration Date | 03/03/2020
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Last Update Date | 11/27/2023
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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 | 86314-1295
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Country | US
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Telephone | 928-772-1610
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Fax |
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Provider Business Mailing Address
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Address Line | 4032 N VIEWPOINT DR APT C
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City | PRESCOTT VALLEY
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State | AZ
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Zip | 86314-5460
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Country | US
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Telephone | 312-863-9114
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | LPC18750
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License Number State | AZ
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