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General NPI Number Information
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NPI Number | 1306548672
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Entity Type | Organization
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Legal Business Name | THROUGH THE WOODS INDIVIDUAL AND CHILD THERAPY
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Dates
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Enumeration Date | 03/20/2023
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Last Update Date | 03/20/2023
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Provider Practice Location Address
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Address Line | 1251 MOUNT RAINIER DR
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City | SOUTH LAKE TAHOE
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State | CA
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Zip | 96150-5580
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Country | US
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Telephone | 530-205-3626
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Fax |
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Provider Business Mailing Address
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Address Line | 1251 MOUNT RAINIER DR
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City | SOUTH LAKE TAHOE
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State | CA
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Zip | 96150-5580
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Country | US
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Telephone | 530-205-3626
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KAREN JOAQUIN
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Credential | LMFT
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Telephone | 310-415-3862
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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