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General NPI Number Information
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NPI Number | 1497008197
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Entity Type | Individual
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Provider Name | DEKEN EDWARD GOSSETT LMFT
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Gender | Male
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Dates
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Enumeration Date | 10/18/2012
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Last Update Date | 01/29/2025
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Provider Practice Location Address
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Address Line | 131 RYLAND ST
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City | RENO
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State | NV
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Zip | 89501-2214
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Country | US
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Telephone | 775-544-0365
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Fax | 775-384-6454
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Provider Business Mailing Address
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Address Line | 2710 EASTSHORE PL
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City | RENO
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State | NV
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Zip | 89509-4318
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Country | US
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Telephone | 775-544-0365
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Fax | 775-384-6454
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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 | MI0287
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License Number State | NV
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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 | 01365
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License Number State | NV
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