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General NPI Number Information
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NPI Number | 1821720699
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Entity Type | Individual
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Provider Name | ELIZABETH ROUSH COLDIRON MSW
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Gender | Female
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Dates
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Enumeration Date | 06/29/2022
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Last Update Date | 10/19/2025
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Provider Practice Location Address
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Address Line | 2040 W WHISPERING WIND DR STE 140
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City | PHOENIX
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State | AZ
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Zip | 85085-2858
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Country | US
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Telephone | 602-935-8282
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Fax |
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Provider Business Mailing Address
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Address Line | 2040 W WHISPERING WIND DR STE 140
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City | PHOENIX
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State | AZ
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Zip | 85085-2858
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Country | US
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Telephone | 602-935-8282
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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 | LCSW7359T
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License Number State | AZ
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