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General NPI Number Information
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NPI Number | 1154015782
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Entity Type | Organization
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Legal Business Name | JUNIPER PSYCHOTHERAPY LLC
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Dates
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Enumeration Date | 06/06/2023
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Last Update Date | 12/05/2024
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Provider Practice Location Address
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Address Line | 901 HALIBUT POINT RD STE E
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City | SITKA
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State | AK
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Zip | 99835-7106
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Country | US
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Telephone | 907-623-8239
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Fax |
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Provider Business Mailing Address
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Address Line | 408 OJA WAY APT D
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City | SITKA
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State | AK
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Zip | 99835-7663
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Country | US
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Telephone | 907-623-8239
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Fax |
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Authorized Official
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Title or Position | OWNER/LCSW
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Name | MARGARET GALLIN
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Credential | LCSW
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Telephone | 907-416-5478
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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 |
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License Number State |
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