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General NPI Number Information
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NPI Number | 1154466373
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Entity Type | Organization
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Legal Business Name | CONSUMER DIRECT SERVICES FOR NEVADA, LLC
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Dates
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Enumeration Date | 02/21/2007
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Last Update Date | 04/21/2025
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Provider Practice Location Address
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Address Line | 1005 TERMINAL WAY STE 118
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City | RENO
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State | NV
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Zip | 89502-2120
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Country | US
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Telephone | 775-786-4999
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Fax |
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Provider Business Mailing Address
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Address Line | 100 CONSUMER DIRECT WAY
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City | MISSOULA
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State | MT
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Zip | 59808-5037
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Country | US
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Telephone | 406-541-1700
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Fax |
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Authorized Official
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Title or Position | LEGAL MANAGER
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Name | HOLLY STEPHENS
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Credential |
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Telephone | 406-532-1929
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number |
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License Number State |
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