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General NPI Number Information
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NPI Number | 1629465307
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Entity Type | Organization
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Legal Business Name | STARTHUMAN, INC.
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Dates
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Enumeration Date | 04/21/2015
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Last Update Date | 04/21/2015
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Provider Practice Location Address
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Address Line | 140 WASHINGTON ST SUITE 220
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City | RENO
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State | NV
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Zip | 89503-5688
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Country | US
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Telephone | 775-622-4730
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Fax |
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Provider Business Mailing Address
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Address Line | 140 WASHINGTON ST SUITE 220
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City | RENO
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State | NV
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Zip | 89503-5688
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Country | US
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Telephone | 775-622-4730
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | AMBER BARNES
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Credential | MS
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Telephone | 775-622-4730
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 6668-C
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License Number State | NV
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