{
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"EIN": null,
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"FirstLineMailingAddress": "18124 WEDGE PKWY # 109",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "RENO",
"MailingAddressStateName": "NV",
"MailingAddressPostalCode": "89511-8134",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": null,
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "505 S ARLINGTON AVE STE B5",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "RENO",
"PracticeLocationAddressStateName": "NV",
"PracticeLocationAddressPostalCode": "89509-1540",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "775-391-0444",
"PracticeLocationAddressFaxNumber": "775-870-1385",
"EnumerationDate": "11/04/2019",
"LastUpdateDate": "03/05/2020",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "FRIEND",
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"AuthorizedOfficialTitle": "OWNER/AUTHORIZED OFFICIAL",
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"AuthorizedOfficialCredential": "NP",
"AuthorizedOfficialTelephoneNumber": "702-358-9643",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251S00000X",
"TaxonomyName": "Community/Behavioral Health Agency",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
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}
}