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General NPI Number Information
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NPI Number | 1366812117
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Entity Type | Organization
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Legal Business Name | ADVANCED DUI SCHOOL & COUNSELING
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Dates
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Enumeration Date | 10/05/2015
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Last Update Date | 10/05/2015
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Provider Practice Location Address
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Address Line | 1000 BIBLE WAY STE 66
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City | RENO
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State | NV
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Zip | 89502-2134
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Country | US
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Telephone | 775-378-3735
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Fax | 775-348-2762
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Provider Business Mailing Address
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Address Line | 1000 BIBLE WAY SUITE 66
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City | RENO
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State | NV
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Zip | 89502
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Country | US
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Telephone | 775-378-3735
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Fax | 775-348-2762
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Authorized Official
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Title or Position | OWNER/COUNSELOR
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Name | MR. MICHAEL DEAN YASMER
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Credential | CADC
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Telephone | 775-378-7535
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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 | 01539-I
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License Number State | NV
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