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General NPI Number Information
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NPI Number | 1639057243
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Entity Type | Individual
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Provider Name | JUSTIN MICHAEL REED
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Gender | Male
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Dates
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Enumeration Date | 08/22/2025
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Last Update Date | 08/22/2025
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Provider Practice Location Address
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Address Line | 9480 DOUBLE DIAMOND PKWY STE 100
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City | RENO
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State | NV
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Zip | 89521-5844
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Country | US
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Telephone | 775-786-1600
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Fax |
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Provider Business Mailing Address
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Address Line | 9150 RAYTHEON CT
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City | RENO
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State | NV
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Zip | 89506-5989
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Country | US
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Telephone | 775-250-5706
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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License Number | OTA-3733
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License Number State | NV
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