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General NPI Number Information
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NPI Number | 1659913168
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Entity Type | Organization
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Legal Business Name | COMPANIONS ALONG THE WAY
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Dates
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Enumeration Date | 10/16/2019
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Last Update Date | 10/16/2019
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Provider Practice Location Address
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Address Line | 595 HUMBOLDT ST # 2G1
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City | RENO
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State | NV
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Zip | 89509-1603
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Country | US
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Telephone | 775-384-7938
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Fax |
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Provider Business Mailing Address
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Address Line | 1650 EASTLAKE BLVD
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City | WASHOE VALLEY
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State | NV
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Zip | 89704-9296
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Country | US
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Telephone | 775-440-9499
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. EUGENIA JUANITA CHAPMAN
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Credential | MFT/LCADC/PSYD
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Telephone | 775-440-9499
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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 |
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License Number State |
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