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General NPI Number Information
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NPI Number | 1346004793
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Entity Type | Individual
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Provider Name | KATHRYN PADMOS MFT-INTERN,CADC-I
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Gender | Female
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Dates
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Enumeration Date | 02/07/2024
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Last Update Date | 02/07/2024
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Provider Practice Location Address
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Address Line | 3700 SAFE HARBOR WAY
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City | RENO
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State | NV
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Zip | 89512-1137
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Country | US
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Telephone | 775-787-9411
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Fax | 775-787-9445
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Provider Business Mailing Address
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Address Line | 14103 GLOWING AMBER CT
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City | RENO
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State | NV
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Zip | 89511-6104
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Country | US
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Telephone | 408-315-9376
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | MI4258
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 07307-I
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License Number State | NV
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