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General NPI Number Information
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NPI Number | 1215221726
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Entity Type | Individual
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Provider Name | LINDSEY MCBRIDE LMSW, MS, RDN, LD
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Gender | Female
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Dates
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Enumeration Date | 06/01/2011
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Last Update Date | 10/10/2024
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Provider Practice Location Address
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Address Line | 2630 KEYSTONE AVE
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City | RENO
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State | NV
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Zip | 89503-1359
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Country | US
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Telephone | 480-204-9421
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Fax |
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Provider Business Mailing Address
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Address Line | 2630 KEYSTONE AVE
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City | RENO
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State | NV
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Zip | 89503-1359
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Country | US
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Telephone | 480-204-9421
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 11856-M
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 133VN1004X
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Taxonomy Name | Pediatric Nutrition Registered Dietitian
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License Number | 1033297
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License Number State | NV
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