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General NPI Number Information
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NPI Number | 1154980225
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Entity Type | Individual
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Provider Name | LEAH MARIN CRAM LCSW
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Gender | Female
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Dates
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Enumeration Date | 06/11/2019
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Last Update Date | 04/18/2022
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Provider Practice Location Address
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Address Line | 1601 E BASIN AVE STE 303
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City | PAHRUMP
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State | NV
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Zip | 89060-4612
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Country | US
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Telephone | 775-537-8898
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Fax |
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Provider Business Mailing Address
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Address Line | 8817 TOM NOON AVE UNIT 101
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City | LAS VEGAS
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State | NV
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Zip | 89178-6700
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Country | US
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Telephone | 503-550-2373
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 8414-S
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License Number State | NV
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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 | 99941-C
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License Number State | NV
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