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NPI 1821497652

NPI 1821497652 : RENO ORTHOPAEDIC CLINIC, LTD : SPARKS, NV

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General NPI Number Information
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    NPI Number           |    1821497652
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    Entity Type          |    Organization 
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    Legal Business Name  |    RENO ORTHOPAEDIC CLINIC, LTD 
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Dates
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    Enumeration Date     |    08/18/2014
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    Last Update Date     |    01/07/2026
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Provider Practice Location Address
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    Address Line         |    5070 ION DR STE 210 
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    City                 |    SPARKS
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    State                |    NV
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    Zip                  |    89436-1612
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    Country              |    US
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    Telephone            |    775-786-3040
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    Fax                  |    775-786-1887
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Provider Business Mailing Address
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    Address Line         |    555 N ARLINGTON AVE 
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    City                 |    RENO
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    State                |    NV
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    Zip                  |    89503-4723
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    Country              |    US
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    Telephone            |    775-786-3040
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    Fax                  |    775-786-1887
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Authorized Official
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    Title or Position    |    CEO
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    Name                 |     LISA  MEAD 
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    Credential           |    
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    Telephone            |    775-786-3040
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    2086S0129X
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    Taxonomy Name        |    Vascular Surgery 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        |    225X00000X
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    Taxonomy Name        |    Occupational Therapist
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    363L00000X
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    Taxonomy Name        |    Nurse Practitioner
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    License Number       |    
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    License Number State |    
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Taxonomy #4
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    Taxonomy Code        |    208200000X
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    Taxonomy Name        |    Plastic Surgery Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #5
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    Taxonomy Code        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    
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    License Number State |    
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Taxonomy #6
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    Taxonomy Code        |    363A00000X
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    Taxonomy Name        |    Physician Assistant
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    License Number       |    
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    License Number State |    
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Taxonomy #7
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    Taxonomy Code        |    207T00000X
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    Taxonomy Name        |    Neurological Surgery Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #8
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    Taxonomy Code        |    207X00000X
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    Taxonomy Name        |    Orthopaedic Surgery Physician
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    License Number       |    
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    License Number State |    
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