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General NPI Number Information
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NPI Number | 1740855097
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Entity Type | Organization
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Legal Business Name | PEBBLES PSYCHIATRY LLC
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Dates
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Enumeration Date | 05/20/2021
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Last Update Date | 01/04/2023
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Provider Practice Location Address
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Address Line | 515 COURT STREET LOWER LEVEL SUITE D
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City | RENO
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State | NV
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Zip | 89501
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Country | US
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Telephone | 775-418-5990
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Fax | 775-418-5991
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Provider Business Mailing Address
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Address Line | PO BOX 51630
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City | SPARKS
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State | NV
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Zip | 89435-1630
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Country | US
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Telephone | 775-418-5990
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Fax | 775-418-5991
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Authorized Official
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Title or Position | PSYCHIATRIC NP/OWNER
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Name | DR. CHRISTINE YVETTE PEBBLES
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Credential | DNP, APRN, PMHNP-BC
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Telephone | 775-418-5990
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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