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General NPI Number Information
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NPI Number | 1013019561
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Entity Type | Individual
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Provider Name | GLORIA J. RAMBERG LMHC
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Gender | Female
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Dates
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Enumeration Date | 09/04/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 410 E 20TH ST
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City | VANCOUVER
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State | WA
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Zip | 98663-3316
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Country | US
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Telephone | 360-694-9030
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Fax |
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Provider Business Mailing Address
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Address Line | 9712 NW 4TH CT
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City | VANCOUVER
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State | WA
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Zip | 98665-7527
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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 |
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LH00004119
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License Number State | WA
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