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General NPI Number Information
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NPI Number | 1679874168
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Entity Type | Organization
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Legal Business Name | COMPUTERIZED SCREENING INC
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Dates
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Enumeration Date | 11/15/2010
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Last Update Date | 11/15/2010
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Provider Practice Location Address
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Address Line | 9550 GATEWAY DR
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City | RENO
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State | NV
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Zip | 89521-8924
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Country | US
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Telephone | 775-359-1191
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Fax | 775-359-7879
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Provider Business Mailing Address
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Address Line | 9550 GATEWAY DR
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City | RENO
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State | NV
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Zip | 89521-8924
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Country | US
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Telephone | 775-359-1191
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Fax | 775-359-7879
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Authorized Official
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Title or Position | CHIEF MEDICAL OFFICER
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Name | DR. WILLIAM EVERTS
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Credential | DO
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Telephone | 775-359-1191
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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