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General NPI Number Information
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NPI Number | 1427791094
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Entity Type | Organization
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Legal Business Name | AMBER E TIMBERLAKE
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Dates
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Enumeration Date | 04/20/2022
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Last Update Date | 04/20/2022
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Provider Practice Location Address
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Address Line | 40 E CENTER ST STE 12
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City | FALLON
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State | NV
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Zip | 89406-3474
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Country | US
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Telephone | 775-294-6526
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 214
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City | FALLON
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State | NV
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Zip | 89407-0214
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Country | US
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Telephone | 775-294-6526
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | AMBER E TIMBERLAKE
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Credential |
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Telephone | 775-391-5271
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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 |
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License Number State |
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