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General NPI Number Information
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NPI Number | 1013289495
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Entity Type | Organization
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Legal Business Name | A LINE MENTAL HEALTH SERVICES
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Dates
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Enumeration Date | 02/01/2012
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Last Update Date | 02/01/2012
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Provider Practice Location Address
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Address Line | 3315 WILD FILLY LN
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City | N LAS VEGAS
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State | NV
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Zip | 89032-2474
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Country | US
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Telephone | 702-475-1666
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Fax | 702-778-4566
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Provider Business Mailing Address
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Address Line | 3315 WILD FILLY LN
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City | N LAS VEGAS
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State | NV
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Zip | 89032-2474
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Country | US
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Telephone | 702-475-1666
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Fax | 702-778-4566
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Authorized Official
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Title or Position | CLINICAL DIRECTOR
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Name | MRS. DONNA MARIE MCNEECE
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Credential | LCSW
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Telephone | 702-778-4566
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 5124-C
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License Number State | NV
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