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General NPI Number Information
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NPI Number | 1972156263
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Entity Type | Individual
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Provider Name | RHONDA RIVERS
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Gender | Female
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Dates
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Enumeration Date | 07/17/2019
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Last Update Date | 09/30/2025
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Provider Practice Location Address
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Address Line | 3250 W LOWER BUCKEYE RD
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City | PHOENIX
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State | AZ
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Zip | 85009-6729
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Country | US
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Telephone | 602-876-6512
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Fax |
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Provider Business Mailing Address
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Address Line | 16107 W TONTO ST
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City | GOODYEAR
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State | AZ
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Zip | 85338-2823
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Country | US
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Telephone | 623-202-9847
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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 | LCSW-23156
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License Number State | AZ
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