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NPI 1538377841

NPI 1538377841 : JUDI DEBORAH KOSINSKI MA : RENO, NV

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General NPI Number Information
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    NPI Number           |    1538377841
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    Entity Type          |    Individual 
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    Provider Name        |    JUDI DEBORAH KOSINSKI MA
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    05/18/2007
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    6481 MEADOW HILL DR 
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    City                 |    RENO
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    State                |    NV
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    Zip                  |    89509-6308
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    Country              |    US
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    Telephone            |    775-826-8119
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    Fax                  |    775-826-6639
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Provider Business Mailing Address
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    Address Line         |    6481 MEADOW HILL DR 
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    City                 |    RENO
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    State                |    NV
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    Zip                  |    89519-6308
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    Country              |    US
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    Telephone            |    775-826-8119
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    Fax                  |    775-826-6639
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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       |    003
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    License Number State |    NV
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