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General NPI Number Information
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NPI Number | 1023724945
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Entity Type | Organization
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Legal Business Name | NORTHERN NEVADA HIV OUTPATIENT PROGRAM EDUCATION AND SERVICES
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Dates
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Enumeration Date | 01/24/2023
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Last Update Date | 07/11/2025
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Provider Practice Location Address
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Address Line | 1905 E 4TH ST
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City | RENO
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State | NV
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Zip | 89512-3789
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Country | US
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Telephone | 775-786-4673
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Fax |
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Provider Business Mailing Address
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Address Line | 580 W 5TH ST
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City | RENO
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State | NV
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Zip | 89503-4407
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | SHARON CHAMBERLAIN
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Credential |
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Telephone | 775-786-4673
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0002X
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Taxonomy Name | Clinic Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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