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General NPI Number Information
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NPI Number | 1295436897
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Entity Type | Individual
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Provider Name | CAROLINE ANSLEIGH ADAMS BRELAND MFT-I
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Gender | Female
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Dates
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Enumeration Date | 03/13/2023
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Last Update Date | 08/29/2024
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Provider Practice Location Address
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Address Line | 491 COURT ST
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City | RENO
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State | NV
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Zip | 89501-1708
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Country | US
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Telephone | 775-525-8103
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Fax |
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Provider Business Mailing Address
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Address Line | 4275 W 4TH ST UNIT 327
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City | RENO
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State | NV
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Zip | 89523-8824
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Country | US
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Telephone | 318-578-3782
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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 | MI4400
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License Number State | NV
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