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General NPI Number Information
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NPI Number | 1255993432
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Entity Type | Individual
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Provider Name | MONICA SARAI REAL
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Gender | Female
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Dates
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Enumeration Date | 07/08/2019
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Last Update Date | 07/08/2019
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Provider Practice Location Address
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Address Line | 2055 RED WILLOW DR
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City | RENO
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State | NV
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Zip | 89521-4320
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Country | US
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Telephone | 775-600-7229
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Fax |
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Provider Business Mailing Address
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Address Line | 704 MILL ST
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City | RENO
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State | NV
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Zip | 89502-1321
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Country | US
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Telephone | 775-954-1400
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Fax | 775-954-1406
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 02522-I
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License Number State | NV
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