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General NPI Number Information
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NPI Number | 1609944735
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Entity Type | Organization
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Legal Business Name | BOARD OF REGENTS NEVADA SYSTEM OF HIGHER EDUCATION
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Dates
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Enumeration Date | 11/30/2006
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Last Update Date | 09/08/2009
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Provider Practice Location Address
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Address Line | 1660 N VIRGINIA ST
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City | RENO
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State | NV
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Zip | 89503-0703
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Country | US
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Telephone | 775-688-1335
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Fax | 775-688-1460
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Provider Business Mailing Address
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Address Line | 1660 N VIRGINIA ST
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City | RENO
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State | NV
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Zip | 89503-0703
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Country | US
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Telephone | 775-688-1335
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Fax | 775-688-1460
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. LOUIS DEE BROWN
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Credential | MD, MPH
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Telephone | 775-688-1335
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number | 1479LIC-6
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License Number State | NV
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