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General NPI Number Information
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NPI Number | 1316593577
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Entity Type | Organization
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Legal Business Name | GSC - SPECIALISTS
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Dates
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Enumeration Date | 08/14/2019
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Last Update Date | 08/14/2019
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Provider Practice Location Address
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Address Line | 781 MILL ST
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City | RENO
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State | NV
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Zip | 89502-1320
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Country | US
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Telephone | 775-745-2676
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Fax |
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Provider Business Mailing Address
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Address Line | 781 MILL ST
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City | RENO
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State | NV
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Zip | 89502-1320
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Country | US
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Telephone | 775-745-2676
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Fax |
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Authorized Official
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Title or Position | PRESIDENT CEO
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Name | STEVEN PHILLIPS
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Credential |
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Telephone | 775-398-1981
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State |
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