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General NPI Number Information
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NPI Number | 1518146943
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Entity Type | Individual
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Provider Name | MICHAEL DEAN YASMER B.S.W., CADC
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Gender | Male
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Dates
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Enumeration Date | 11/01/2007
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Last Update Date | 09/30/2015
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Provider Practice Location 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 | 89502-2135
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Country | US
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Telephone | 775-233-5316
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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 | 89506-5593
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Country | US
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Telephone | 775-233-5316
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Fax | 775-348-2762
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 00210-C
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License Number State | NV
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