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General NPI Number Information
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NPI Number | 1346536240
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Entity Type | Organization
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Legal Business Name | NEVADA PSYCHOTHERAPY SERVICES, A GILBERT-ELIOT PROF LLC
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Dates
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Enumeration Date | 06/20/2011
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Last Update Date | 06/20/2011
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Provider Practice Location Address
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Address Line | 458 COURT ST
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City | RENO
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State | NV
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Zip | 89501-1709
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Country | US
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Telephone | 775-772-9017
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Fax | 775-323-2220
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Provider Business Mailing Address
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Address Line | 458 COURT ST
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City | RENO
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State | NV
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Zip | 89501-1709
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Country | US
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Telephone | 775-772-9017
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Fax | 775-323-2220
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Authorized Official
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Title or Position | MEMBER
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Name | TRUDY GILBERT-ELIOT
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Credential | LMFT, LADC
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Telephone | 775-772-9017
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 5685-C
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 0828
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License Number State | NV
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