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General NPI Number Information
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NPI Number | 1811597552
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Entity Type | Individual
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Provider Name | DEANAHA M ROMERO LPC
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Gender | Female
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Dates
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Enumeration Date | 10/30/2020
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Last Update Date | 02/17/2023
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Provider Practice Location Address
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Address Line | 3930 N 30TH AVE
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City | PHOENIX
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State | AZ
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Zip | 85017-4607
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Country | US
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Telephone | 623-322-6143
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Fax | 480-781-4566
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Provider Business Mailing Address
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Address Line | 7141 W CARTER RD
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City | LAVEEN
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State | AZ
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Zip | 85339-7059
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Country | US
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Telephone | 623-322-6143
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Fax | 480-781-4566
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LPC-20874
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License Number State | AZ
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