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General NPI Number Information
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NPI Number | 1477250066
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Entity Type | Organization
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Legal Business Name | SALMON RUN COUNSELING
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Dates
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Enumeration Date | 02/14/2023
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Last Update Date | 02/14/2023
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Provider Practice Location Address
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Address Line | 29 ROAD 5293
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City | FARMINGTON
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State | NM
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Zip | 87401-1594
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Country | US
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Telephone | 907-252-8778
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Fax |
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Provider Business Mailing Address
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Address Line | 29 ROAD 5293
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City | FARMINGTON
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State | NM
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Zip | 87401-1594
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Country | US
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Telephone | 907-252-8778
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Fax |
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Authorized Official
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Title or Position | OWNER, LPCC
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Name | AMANDA M BARLOW
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Credential | MA, LPCC
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Telephone | 907-252-8778
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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