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General NPI Number Information
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NPI Number | 1972181113
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Entity Type | Organization
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Legal Business Name | TRIUMPH PSYCHOLOGY, LLC
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Dates
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Enumeration Date | 03/30/2021
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Last Update Date | 03/30/2021
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Provider Practice Location Address
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Address Line | 500 W RAY RD
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City | CHANDLER
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State | AZ
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Zip | 85225-7260
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Country | US
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Telephone | 520-227-0928
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Fax |
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Provider Business Mailing Address
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Address Line | 1889 W QUEEN CREEK RD APT 1037
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City | CHANDLER
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State | AZ
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Zip | 85248-3084
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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 | OWNER
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Name | LUIS R. SANCHEZ
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Credential | PHD
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Telephone | 520-227-0928
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103TM1800X
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Taxonomy Name | Intellectual & Developmental Disabilities Psychologist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number |
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License Number State |
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