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General NPI Number Information
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NPI Number | 1881225035
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Entity Type | Individual
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Provider Name | SHIANE RENE STRODE CSW-I
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Gender | Female
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Dates
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Enumeration Date | 01/27/2020
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Last Update Date | 06/24/2025
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Provider Practice Location Address
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Address Line | 1575 DELUCCHI LN STE 225
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City | RENO
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State | NV
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Zip | 89502-6582
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Country | US
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Telephone | 775-835-7832
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Fax |
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Provider Business Mailing Address
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Address Line | 831 WHEELER AVE APT 9
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City | RENO
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State | NV
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Zip | 89502-0961
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Country | US
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Telephone | 775-835-7832
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 12383-M
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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