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General NPI Number Information
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NPI Number | 1164667119
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Entity Type | Individual
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Provider Name | LINDA LOUISE BELLEGRAY M.A., M.FT
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Gender | Female
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Dates
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Enumeration Date | 12/04/2008
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Last Update Date | 12/04/2008
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Provider Practice Location Address
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Address Line | 504 N. DIVISION
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City | CARSON CITY
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State | NV
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Zip | 89703
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Country | US
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Telephone | 775-721-4477
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Fax |
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Provider Business Mailing Address
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Address Line | P.O. BOX 1109
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City | CARSON CITY
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State | NV
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Zip | 89702
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Country | US
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Telephone | 775-721-4477
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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 | #01090
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License Number State | NV
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