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General NPI Number Information
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NPI Number | 1841598646
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Entity Type | Organization
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Legal Business Name | BEHAVIORAL HEALTH RESOURCES, LLC
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Dates
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Enumeration Date | 03/03/2011
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Last Update Date | 01/09/2012
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Provider Practice Location Address
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Address Line | 1495 RIDGEVIEW DR STE 210
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City | RENO
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State | NV
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Zip | 89519-6334
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Country | US
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Telephone | 775-313-9136
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Fax |
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Provider Business Mailing Address
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Address Line | P O BOX 17933
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City | RENO
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State | NV
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Zip | 89511
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Country | US
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Telephone | 775-313-9136
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Fax |
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Authorized Official
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Title or Position | PI DIRECTOR
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Name | CAROLYN GROTH
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Credential |
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Telephone | 916-747-7967
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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 | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State | NV
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Taxonomy #3
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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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