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General NPI Number Information
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NPI Number | 1982088274
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Entity Type | Organization
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Legal Business Name | COMMUNITY CARE SERVICES LLC
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Dates
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Enumeration Date | 07/16/2015
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Last Update Date | 01/24/2025
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Provider Practice Location Address
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Address Line | 10201 DOUBLE R BLVD
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City | RENO
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State | NV
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Zip | 89521-6091
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Country | US
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Telephone | 775-982-5000
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Fax | 775-982-3900
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Provider Business Mailing Address
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Address Line | 1155 MILL ST # MCM-14
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City | RENO
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State | NV
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Zip | 89502-1576
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Country | US
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Telephone | 775-982-5262
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Fax | 775-982-3900
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Authorized Official
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Title or Position | CFO ACUTE CARE
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Name | MR. BRETT MOORE
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Credential |
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Telephone | 775-982-6343
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 133VN1301X
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Taxonomy Name | Oncology Nutrition Registered Dietitian
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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 | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207RX0202X
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Taxonomy Name | Medical Oncology Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207VX0201X
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Taxonomy Name | Gynecologic Oncology Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State |
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