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General NPI Number Information
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NPI Number | 1528330610
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Entity Type | Individual
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Provider Name | CHARLOTTE ANN CAGE MFT
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Gender | Female
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Dates
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Enumeration Date | 02/03/2012
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Last Update Date | 02/03/2012
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Provider Practice Location Address
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Address Line | 63 KEYSTONE AVE
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City | RENO
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State | NV
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Zip | 89503-5577
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Country | US
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Telephone | 775-338-3232
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Fax | 775-322-3413
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Provider Business Mailing Address
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Address Line | PO BOX 50147
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City | RENO
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State | NV
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Zip | 89513-0147
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Country | US
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Telephone | 775-338-3232
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Fax | 775-322-3413
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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 | 0848
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License Number State | NV
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