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General NPI Number Information
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NPI Number | 1609041722
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Entity Type | Individual
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Provider Name | VALERIE LOU GOLD NEIL ED.D
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Gender | Female
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Dates
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Enumeration Date | 04/29/2008
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Last Update Date | 11/07/2022
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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 | 623-321-1140
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Provider Business Mailing Address
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Address Line | 718 W MOORWOOD DRIVE
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City | GREEN VALLEY
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State | AZ
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Zip | 85614
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Country | US
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Telephone | 520-840-1878
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Fax | 623-321-1140
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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 | PSY12628
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License Number State | CA
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