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General NPI Number Information
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NPI Number | 1548019631
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Entity Type | Organization
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Legal Business Name | VALERIE LOU GOLD-NEIL
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Dates
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Enumeration Date | 05/13/2024
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Last Update Date | 05/13/2024
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Provider Practice Location Address
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Address Line | 718 W MOORWOOD ST
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City | GREEN VALLEY
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State | AZ
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Zip | 85614-6145
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Country | US
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Telephone | 520-840-1878
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Fax |
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Provider Business Mailing Address
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Address Line | 718 W MOORWOOD ST
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City | GREEN VALLEY
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State | AZ
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Zip | 85614-6145
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Country | US
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Telephone | 520-840-1878
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | VALERIE GOLD NEIL
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Credential | PSY D
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Telephone | 520-840-1878
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number |
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License Number State |
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