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General NPI Number Information
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NPI Number | 1891567723
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Entity Type | Individual
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Provider Name | SHEENA ANDERSON
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Gender | Female
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Dates
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Enumeration Date | 10/24/2023
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Last Update Date | 01/20/2026
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Provider Practice Location Address
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Address Line | 44920 W HATHAWAY AVE UNIT 1121
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City | MARICOPA
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State | AZ
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Zip | 85139-9958
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Country | US
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Telephone | 480-809-8702
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Fax |
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Provider Business Mailing Address
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Address Line | 51258 W JULIE LN
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City | MARICOPA
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State | AZ
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Zip | 85139-4617
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Country | US
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Telephone |
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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 | LPC-24378
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License Number State | AZ
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