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General NPI Number Information
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NPI Number | 1942917927
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Entity Type | Organization
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Legal Business Name | EVEXIA PSYCHOLOGY & COUNSELING LLC
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Dates
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Enumeration Date | 10/31/2022
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Last Update Date | 10/31/2022
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Provider Practice Location Address
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Address Line | 2550 W UNION HILLS DR STE 350-9956
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City | PHOENIX
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State | AZ
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Zip | 85027-5163
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Country | US
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Telephone | 602-855-9880
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Fax | 602-855-9885
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Provider Business Mailing Address
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Address Line | 12778 N 58TH AVE
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City | GLENDALE
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State | AZ
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Zip | 85304-1878
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Country | US
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Telephone | 602-855-9880
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Fax | 602-855-9885
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Authorized Official
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Title or Position | OWNER
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Name | NICOLE SPANAKIS
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Credential | PSYD
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Telephone | 602-855-9880
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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