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General NPI Number Information
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NPI Number | 1134525587
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Entity Type | Organization
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Legal Business Name | UNLIMITED POSSIBILITIES OR RENO, LLC
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Dates
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Enumeration Date | 11/12/2014
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Last Update Date | 06/20/2018
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Provider Practice Location Address
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Address Line | 1 E LIBERTY ST SUITE 3
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City | RENO
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State | NV
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Zip | 89501-2110
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Country | US
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Telephone | 702-467-1377
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 370724
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City | LAS VEGAS
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State | NV
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Zip | 89137-0724
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Country | US
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Telephone | 702-467-1377
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Fax | 702-823-4781
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MR. RYAN BRENDON
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Credential |
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Telephone | 702-467-1377
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320900000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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License Number | NV20141663904
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 320800000X
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Taxonomy Name | Mental Illness Community Based Residential Treatment Facility
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License Number | NV20141663904
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License Number State | NV
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