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General NPI Number Information
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NPI Number | 1063573285
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Entity Type | Individual
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Provider Name | NANCY GILSON-LUCIER LCSW
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Gender | Female
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Dates
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Enumeration Date | 12/12/2006
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 310 SURPRISE AVE
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City | YERINGTON
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State | NV
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Zip | 89447-2542
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Country | US
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Telephone | 775-463-3191
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Fax | 775-463-4641
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Provider Business Mailing Address
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Address Line | 4126 TECHNOLOGY WAY
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City | CARSON CITY
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State | NV
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Zip | 89706-2009
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Country | US
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Telephone | 775-687-7573
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Fax | 775-687-7544
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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 | 01421-C
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License Number State | NV
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