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General NPI Number Information
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NPI Number | 1346458288
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Entity Type | Organization
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Legal Business Name | UNIVERSITY ALLIANCE FOR BEHAVIORAL CARE INC., DBA CAREINTEGRA
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Dates
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Enumeration Date | 05/21/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 4781 CAUGHLIN PKWY
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City | RENO
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State | NV
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Zip | 89509-0906
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Country | US
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Telephone | 775-826-3311
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Fax | 775-826-3321
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Provider Business Mailing Address
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Address Line | 4781 CAUGHLIN PKWY
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City | RENO
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State | NV
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Zip | 89509-0906
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Country | US
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Telephone | 775-826-3311
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Fax | 775-826-3321
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Authorized Official
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Title or Position | CEO
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Name | DR. WILLIAM O'DONOHUE
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Credential | PH.D.
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Telephone | 775-826-3311
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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