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General NPI Number Information
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NPI Number | 1487978698
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Entity Type | Organization
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Legal Business Name | VICTORIOUS IN HIS SIGHT
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Dates
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Enumeration Date | 03/16/2010
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Last Update Date | 03/16/2010
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Provider Practice Location Address
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Address Line | 1995 PONDEROSA DR
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City | SPARKS
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State | NV
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Zip | 89431-1045
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Country | US
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Telephone | 775-322-3466
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Fax | 775-359-3466
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Provider Business Mailing Address
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Address Line | 1995 PONDEROSA DR
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City | SPARKS
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State | NV
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Zip | 89431-1045
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Country | US
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Telephone | 775-322-3466
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Fax | 775-359-3466
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MS. DEBORAH ARMSTRONG
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Credential |
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Telephone | 775-322-3466
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 00709-A
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 5386-C
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License Number State | NV
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