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General NPI Number Information
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NPI Number | 1033651922
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Entity Type | Organization
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Legal Business Name | NARUM CLINICAL SERVICES
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Dates
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Enumeration Date | 11/09/2016
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Last Update Date | 11/09/2016
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Provider Practice Location Address
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Address Line | 930 3RD ST, SUITE 201
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City | EUREKA
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State | CA
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Zip | 95501
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Country | US
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Telephone | 707-441-8626
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Fax | 707-442-5040
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Provider Business Mailing Address
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Address Line | 930 3RD ST, SUITE 201
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City | EUREKA
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State | CA
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Zip | 95501
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Country | US
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Telephone | 707-441-8626
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Fax | 707-442-5040
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Authorized Official
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Title or Position | PRESIDENT
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Name | GAIL DENISE NARUM
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Credential |
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Telephone | 707-441-8626
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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 | LCSW12036
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | ASW64542
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | LMFT31915
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MFT27990
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License Number State | CA
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