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General NPI Number Information
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NPI Number | 1902771538
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Entity Type | Organization
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Legal Business Name | RENO TAHOE RECOVERY
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Dates
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Enumeration Date | 10/06/2025
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Last Update Date | 10/06/2025
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Provider Practice Location Address
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Address Line | 343 ELM ST SUITE 301
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City | RENO
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State | NV
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Zip | 89503
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Country | US
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Telephone | 775-745-8000
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Fax | 775-221-7949
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Provider Business Mailing Address
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Address Line | CHARLENE LETCHFORD PO BOX 278
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City | VERDI
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State | NV
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Zip | 89439
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Country | US
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Telephone | 775-745-8000
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Fax | 775-221-7949
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Authorized Official
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Title or Position | PRESIDENT, OWNER
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Name | CHARLENE ANNE LETCHFORD
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Credential | MD
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Telephone | 301-752-7944
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RA0401X
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Taxonomy Name | Addiction Medicine (Internal Medicine) 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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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