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NPI 1508992306

NPI 1508992306 : GAIL KARON PALCHIKOFF MFT : RENO, NV

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General NPI Number Information
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    NPI Number           |    1508992306
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    Entity Type          |    Individual 
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    Provider Name        |    GAIL KARON PALCHIKOFF MFT
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    02/26/2007
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    Last Update Date     |    10/26/2010
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Provider Practice Location Address
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    Address Line         |    137 VASSAR ST # B 
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    City                 |    RENO
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    State                |    NV
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    Zip                  |    89502-2814
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    Country              |    US
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    Telephone            |    775-722-0549
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    Fax                  |    775-851-4874
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Provider Business Mailing Address
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    Address Line         |    12400 CREEK CREST DR 
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    City                 |    RENO
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    State                |    NV
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    Zip                  |    89511-7727
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    Country              |    US
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    Telephone            |    775-851-4814
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    Fax                  |    775-851-4874
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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        |    101YM0800X
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    Taxonomy Name        |    Mental Health Counselor
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    License Number       |    0715
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    License Number State |    NV
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