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General NPI Number Information
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NPI Number | 1497399349
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Entity Type | Organization
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Legal Business Name | FRIEND PSYCHIATRIC SERVICES
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Dates
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Enumeration Date | 11/04/2019
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Last Update Date | 03/05/2020
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Provider Practice Location Address
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Address Line | 505 S ARLINGTON AVE STE B5
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City | RENO
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State | NV
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Zip | 89509-1540
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Country | US
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Telephone | 775-391-0444
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Fax | 775-870-1385
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Provider Business Mailing Address
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Address Line | 18124 WEDGE PKWY # 109
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City | RENO
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State | NV
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Zip | 89511-8134
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/AUTHORIZED OFFICIAL
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Name | MR. JEREMY FRIEND
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Credential | NP
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Telephone | 702-358-9643
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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 |
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License Number State |
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