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General NPI Number Information
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NPI Number | 1659639987
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Entity Type | Organization
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Legal Business Name | WASHOE COUNTY DEPT OF JUVENILE SERVICES
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Dates
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Enumeration Date | 04/24/2012
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Last Update Date | 04/24/2012
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Provider Practice Location Address
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Address Line | 650 FERRARI MCLEOD BLVD
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City | RENO
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State | NV
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Zip | 89512-1060
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Country | US
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Telephone | 775-325-7916
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 11130
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City | RENO
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State | NV
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Zip | 89520-0027
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Country | US
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Telephone | 775-325-7916
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | CAREY BART STEWART
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Credential |
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Telephone | 775-325-7916
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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