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General NPI Number Information
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NPI Number | 1053705863
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Entity Type | Individual
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Provider Name | JERRI GALLEGOS-CARR M.ED., M.S., LMFT
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Gender | Female
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Dates
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Enumeration Date | 03/19/2015
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Last Update Date | 09/08/2016
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Provider Practice Location Address
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Address Line | 8290 W SAHARA AVE SUITE 190
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City | LAS VEGAS
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State | NV
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Zip | 89117-8931
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Country | US
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Telephone | 702-979-0949
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Fax |
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Provider Business Mailing Address
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Address Line | 7884 ROCKWIND CT
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City | LAS VEGAS
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State | NV
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Zip | 89117-1982
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Country | US
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Telephone | 702-979-0949
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 01167
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License Number State | NV
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