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General NPI Number Information
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NPI Number | 1598313090
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Entity Type | Organization
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Legal Business Name | NEIGHBOR NETWORK OF NORTHERN NEVADA
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Dates
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Enumeration Date | 08/28/2019
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Last Update Date | 08/28/2019
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Provider Practice Location Address
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Address Line | 999 PYRAMID WAY
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City | SPARKS
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State | NV
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Zip | 89431-4471
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Country | US
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Telephone | 775-453-4774
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Fax | 775-353-3588
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Provider Business Mailing Address
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Address Line | 3730 PICCADILLY CT
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City | RENO
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State | NV
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Zip | 89509-5624
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Country | US
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Telephone | 775-313-3210
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Fax | 775-353-3588
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | AMY DEWITT-SMITH
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Credential | MPA
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Telephone | 775-453-4774
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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