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General NPI Number Information
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NPI Number | 1770826216
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Entity Type | Individual
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Provider Name | YVETTE TIRELLO LMFT
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Gender | Female
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Dates
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Enumeration Date | 04/03/2013
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Last Update Date | 08/02/2023
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Provider Practice Location Address
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Address Line | 1919 E THOMAS RD
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City | PHOENIX
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State | AZ
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Zip | 85016-7710
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Country | US
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Telephone | 602-933-1000
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Fax |
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Provider Business Mailing Address
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Address Line | 2108 E THOMAS RD STE 130
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City | PHOENIX
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State | AZ
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Zip | 85016-0008
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Country | US
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Telephone | 602-933-3124
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Fax | 702-248-8866
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LMFT-15963
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License Number State | AZ
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Taxonomy #3
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | LMFT-15963
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License Number State | AZ
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Taxonomy #4
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 4420
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License Number State | NV
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