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NPI 1528151768

NPI 1528151768 : PIONEER HEALTH RESOURCES, INC. : RENO, NV

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General NPI Number Information
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    NPI Number           |    1528151768
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    Entity Type          |    Organization 
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    Legal Business Name  |    PIONEER HEALTH RESOURCES, INC. 
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Dates
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    Enumeration Date     |    10/02/2006
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    Last Update Date     |    07/12/2007
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Provider Practice Location Address
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    Address Line         |    85 CONTINENTAL DR 
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    City                 |    RENO
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    State                |    NV
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    Zip                  |    89509-3432
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    Country              |    US
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    Telephone            |    775-324-5820
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    Fax                  |    775-324-5840
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Provider Business Mailing Address
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    Address Line         |    85 CONTINENTAL DR 
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    City                 |    RENO
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    State                |    NV
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    Zip                  |    89509-3432
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    Country              |    US
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    Telephone            |    775-324-5820
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    Fax                  |    775-324-5840
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Authorized Official
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    Title or Position    |    PRES.
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    Name                 |     BARRY  SEVEDGE 
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    Credential           |    
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    Telephone            |    775-324-5820
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    101Y00000X
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    Taxonomy Name        |    Counselor
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    License Number       |    
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    License Number State |    
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