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General NPI Number Information
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NPI Number | 1255701652
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Entity Type | Individual
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Provider Name | NORA BRUCKLACHER M.A., LMFT
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Gender | Female
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Dates
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Enumeration Date | 09/29/2015
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Last Update Date | 04/07/2018
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Provider Practice Location Address
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Address Line | 855 S CENTER ST STE 101
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City | RENO
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State | NV
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Zip | 89501-2332
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Country | US
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Telephone | 775-224-0703
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Fax | 775-333-9909
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Provider Business Mailing Address
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Address Line | 855 S CENTER ST STE 101
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City | RENO
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State | NV
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Zip | 89501-2332
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Country | US
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Telephone | 775-224-0703
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Fax | 775-333-9909
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | MI0474
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 01444
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License Number State | NV
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