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General NPI Number Information
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NPI Number | 1487862819
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Entity Type | Individual
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Provider Name | JOANNA EILEEN MCDONNELL MFT
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Gender | Female
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Dates
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Enumeration Date | 05/18/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 85 CONTINENTAL DR
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City | RENO
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State | NV
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Zip | 89509-3432
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Country | US
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Telephone | 775-324-5820
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Fax | 775-324-5840
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Provider Business Mailing Address
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Address Line | 2735 VAN BUREN DR
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City | RENO
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State | NV
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Zip | 89503-2136
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Country | US
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Telephone | 775-747-1752
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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 | 0873
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License Number State | NV
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