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General NPI Number Information
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NPI Number | 1891645941
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Entity Type | Individual
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Provider Name | RYLIE LEIGH-ANNE HUDSON
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Gender | Female
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Dates
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Enumeration Date | 01/29/2026
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Last Update Date | 01/29/2026
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Provider Practice Location Address
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Address Line | 1102 E MISSOURI AVE
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City | PHOENIX
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State | AZ
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Zip | 85014-2708
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Country | US
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Telephone | 602-935-4340
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Fax |
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Provider Business Mailing Address
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Address Line | 9242 W MARIPOSA GRANDE
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City | PEORIA
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State | AZ
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Zip | 85383-1147
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Country | US
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Telephone | 623-521-9680
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State | AZ
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