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General NPI Number Information
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NPI Number | 1730487653
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Entity Type | Organization
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Legal Business Name | LOFTWINDS VENTURES INC
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Dates
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Enumeration Date | 03/01/2011
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Last Update Date | 03/01/2011
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Provider Practice Location Address
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Address Line | 8590 WISE AVE
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City | RENO
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State | NV
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Zip | 89506-8935
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Country | US
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Telephone | 775-677-9439
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Fax |
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Provider Business Mailing Address
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Address Line | 8590 WISE AVE
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City | RENO
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State | NV
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Zip | 89506-8935
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Country | US
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Telephone | 775-677-9439
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. RONALD DALE LOFTIS
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Credential | LMFT
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Telephone | 775-843-3001
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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 | 5075697-6004
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License Number State | UT
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MFT0592
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License Number State | NV
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Taxonomy #3
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | CP 0018
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License Number State | NV
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