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General NPI Number Information
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NPI Number | 1821553900
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Entity Type | Individual
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Provider Name | ARTWAN GREEN LMSW
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Gender | Male
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Dates
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Enumeration Date | 02/04/2019
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Last Update Date | 01/30/2025
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Provider Practice Location Address
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Address Line | 3920 S RURAL RD STE 112
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City | TEMPE
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State | AZ
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Zip | 85282-5500
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Country | US
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Telephone | 480-429-2944
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Fax |
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Provider Business Mailing Address
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Address Line | 3131 N MAIN ST APT G103
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City | PRESCOTT VALLEY
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State | AZ
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Zip | 86314-2494
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Country | US
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Telephone | 424-366-0506
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LMSW-22514
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License Number State | AZ
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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 | LMSW-22514
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License Number State | AZ
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