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General NPI Number Information
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NPI Number | 1548532492
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Entity Type | Organization
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Legal Business Name | PEOPLE BUILDERS
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Dates
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Enumeration Date | 02/07/2012
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Last Update Date | 07/12/2013
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Provider Practice Location Address
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Address Line | 3680 GRANT DR SUITE B
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City | RENO
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State | NV
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Zip | 89509-5477
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Country | US
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Telephone | 775-525-1267
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Fax |
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Provider Business Mailing Address
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Address Line | 3680 GRANT DR SUITE B
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City | RENO
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State | NV
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Zip | 89509-5477
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Country | US
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Telephone | 775-525-1267
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MISHA ALLEN
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Credential |
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Telephone | 775-525-1267
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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 | NV20121063043
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License Number State | NV
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