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General NPI Number Information
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NPI Number | 1730803115
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Entity Type | Organization
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Legal Business Name | BC MEDICAL
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Dates
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Enumeration Date | 09/29/2022
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Last Update Date | 11/24/2025
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Provider Practice Location Address
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Address Line | 150 COUNTRY ESTATES CIR STE 111
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City | RENO
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State | NV
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Zip | 89511-4017
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Country | US
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Telephone | 888-517-3326
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Fax | 888-517-3326
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Provider Business Mailing Address
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Address Line | 3983 S MCCARRAN BLVD STE 703
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City | RENO
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State | NV
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Zip | 89502-7510
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Country | US
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Telephone | 775-400-6617
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Fax | 775-418-6100
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Authorized Official
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Title or Position | OWNER
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Name | KENNETH L CRAFT JR.
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Credential | APRN
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Telephone | 775-400-6617
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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