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General NPI Number Information
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NPI Number | 1851525489
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Entity Type | Organization
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Legal Business Name | POSSIBILITIES, LLC
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Dates
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Enumeration Date | 05/11/2009
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Last Update Date | 10/07/2009
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Provider Practice Location Address
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Address Line | 434 WASHINGTON ST 2ND FLOOR
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City | RENO
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State | NV
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Zip | 89503-4323
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Country | US
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Telephone | 775-996-8483
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Fax |
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Provider Business Mailing Address
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Address Line | 18271 DUSTIN CT
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City | RENO
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State | NV
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Zip | 89508-2527
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Country | US
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Telephone | 775-287-0533
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ALICIA ROCHELLE TAU
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Credential |
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Telephone | 775-200-2262
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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