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General NPI Number Information
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NPI Number | 1639502586
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Entity Type | Organization
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Legal Business Name | HEALTHERAPY OF NEVADA
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Dates
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Enumeration Date | 08/14/2013
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Last Update Date | 06/20/2018
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Provider Practice Location Address
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Address Line | 4600 KIETZKE LN BUILDING A, SUITE 103
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City | RENO
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State | NV
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Zip | 89502-5033
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Country | US
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Telephone | 775-824-0200
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Fax |
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Provider Business Mailing Address
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Address Line | 4600 KIETZKE LN BUILDING A, SUITE 103
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City | RENO
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State | NV
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Zip | 89502-5033
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Country | US
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Telephone | 775-824-0200
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Fax |
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | SUZANNE PINDELL
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Credential |
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Telephone | 775-824-0200
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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 | NV20071656876
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License Number State | NV
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