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General NPI Number Information
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NPI Number | 1932686938
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Entity Type | Individual
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Provider Name | SHELAINE DONNETTE VIEUX-WRIGHT LMSW
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Gender | Female
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Dates
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Enumeration Date | 07/23/2018
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Last Update Date | 07/23/2018
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Provider Practice Location Address
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Address Line | 650 E INDIAN SCHOOL RD
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City | PHOENIX
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State | AZ
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Zip | 85012-1839
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Country | US
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Telephone | 909-800-7131
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Fax |
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Provider Business Mailing Address
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Address Line | 4545 N 67TH AVE UNIT 1442
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City | PHOENIX
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State | AZ
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Zip | 85033-1665
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Country | US
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Telephone | 909-800-7131
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | LMSW-16574
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License Number State | AZ
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