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General NPI Number Information
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NPI Number | 1730446949
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Entity Type | Organization
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Legal Business Name | PAHRUMP VALLEY COUNSELING LLC
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Dates
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Enumeration Date | 04/12/2012
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Last Update Date | 06/11/2012
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Provider Practice Location Address
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Address Line | 3370 S HIGHWAY 160 STE. 12
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City | PAHRUMP
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State | NV
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Zip | 89048-5375
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Country | US
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Telephone | 775-751-8980
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Fax | 775-751-8650
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Provider Business Mailing Address
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Address Line | 3370 S HIGHWAY 160 STE. 12
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City | PAHRUMP
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State | NV
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Zip | 89048-5375
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Country | US
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Telephone | 775-751-8980
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Fax | 775-751-8650
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Authorized Official
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Title or Position | CLINICAL THERAPIST
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Name | MS. RAMONA KAY SANCHEZ
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Credential | LCSW, LMFT
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Telephone | 775-751-8980
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 00145-C
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License Number State | NV
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