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General NPI Number Information
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NPI Number | 1922016419
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Entity Type | Organization
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Legal Business Name | JANE K. O'BRIEN, INC.
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Dates
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Enumeration Date | 08/03/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 889 ALDER AVE SUITE 105
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City | INCLINE VILLAGE
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State | NV
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Zip | 89451-8203
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Country | US
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Telephone | 775-831-6600
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 34120
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City | RENO
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State | NV
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Zip | 89533-4120
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Country | US
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Telephone | 775-747-5050
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Fax | 775-747-5005
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | JANE K O'BRIEN
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Credential | PT
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Telephone | 775-831-6600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 | NV
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