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General NPI Number Information
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NPI Number | 1467785436
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Entity Type | Individual
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Provider Name | JENNIFER LEIGH CALE ARREOLA LMFT
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Gender | Female
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Dates
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Enumeration Date | 09/09/2009
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Last Update Date | 04/18/2023
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Provider Practice Location Address
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Address Line | 24 STARGAZER DR
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City | LAS VEGAS
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State | NM
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Zip | 87701-9624
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Country | US
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Telephone | 505-652-2353
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Fax |
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Provider Business Mailing Address
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Address Line | 24 STARGAZER DR
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City | LAS VEGAS
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State | NM
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Zip | 87701-9624
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Country | US
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Telephone | 505-376-9000
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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 | T-CTL0205211
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License Number State | NM
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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 | CMF0222871
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License Number State | NM
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