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General NPI Number Information
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NPI Number | 1801452388
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Entity Type | Organization
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Legal Business Name | MERIDIAN HEALTH
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Dates
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Enumeration Date | 05/10/2019
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Last Update Date | 01/22/2023
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Provider Practice Location Address
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Address Line | 1325 AIRMOTIVE WAY STE 240
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City | RENO
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State | NV
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Zip | 89502-3284
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Country | US
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Telephone | 775-737-9001
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Fax | 775-870-1628
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Provider Business Mailing Address
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Address Line | 1325 AIRMOTIVE WAY STE 240
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City | RENO
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State | NV
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Zip | 89502-3284
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Country | US
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Telephone | 775-737-9001
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Fax | 775-870-1628
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Authorized Official
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Title or Position | CO OWNER
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Name | MIRIT FEINBERG SLOVES
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Credential |
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Telephone | 775-737-9001
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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