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NPI 1710516620

NPI 1710516620 : GIANNI BOITANO PERANO MD : RENO, NV

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General NPI Number Information
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    NPI Number           |    1710516620
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    Entity Type          |    Individual 
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    Provider Name        |    GIANNI BOITANO PERANO MD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    04/02/2020
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    Last Update Date     |    10/10/2025
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Provider Practice Location Address
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    Address Line         |    901 E 2ND ST STE 201 
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    City                 |    RENO
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    State                |    NV
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    Zip                  |    89502-1186
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    Country              |    US
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    Telephone            |    775-982-5000
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    Fax                  |    775-982-3971
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Provider Business Mailing Address
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    Address Line         |    1155 MILL ST # M-14 
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    City                 |    RENO
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    State                |    NV
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    Zip                  |    89502-1576
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    Country              |    US
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    Telephone            |    775-982-5262
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    Fax                  |    775-982-5496
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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        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    23953
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    License Number State |    NV
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Taxonomy #2
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    Taxonomy Code        |    390200000X
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    Taxonomy Name        |    Student in an Organized Health Care Education/Training Program
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    License Number       |    
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    License Number State |    
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