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General NPI Number Information
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NPI Number | 1528684586
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Entity Type | Organization
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Legal Business Name | KAY SUPERVISION & COUNSELING
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Dates
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Enumeration Date | 06/24/2020
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Last Update Date | 06/24/2020
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Provider Practice Location Address
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Address Line | 2101 DENISE CT
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City | PAHRUMP
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State | NV
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Zip | 89048-1003
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Country | US
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Telephone | 702-416-0139
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Fax |
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Provider Business Mailing Address
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Address Line | 2101 DENISE CT
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City | PAHRUMP
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State | NV
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Zip | 89048-1003
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Country | US
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Telephone | 702-416-0139
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Fax |
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Authorized Official
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Title or Position | CHAIRMAN OF THE BOARD
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Name | AMANDA KAY
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Credential | LMFT
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Telephone | 775-764-9218
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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