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General NPI Number Information
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NPI Number | 1205017571
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Entity Type | Organization
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Legal Business Name | NEVADA YOUTH EMPOWERMENT PROJECT
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Dates
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Enumeration Date | 11/15/2007
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Last Update Date | 06/16/2008
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Provider Practice Location Address
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Address Line | 2030 W 6TH ST
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City | RENO
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State | NV
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Zip | 89503-4013
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Country | US
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Telephone | 775-747-2073
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Fax | 888-331-0717
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Provider Business Mailing Address
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Address Line | 2030 W 6TH ST
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City | RENO
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State | NV
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Zip | 89503-4013
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Country | US
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Telephone | 775-747-2073
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Fax | 888-331-0717
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MS. MONICA LYNN DUPEA
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Credential |
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Telephone | 775-747-2073
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 1902935661
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License Number State | NV
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