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General NPI Number Information
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NPI Number | 1013517580
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Entity Type | Organization
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Legal Business Name | BUILDING & ADVANCING MINDS, LLC
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Dates
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Enumeration Date | 10/26/2020
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Last Update Date | 10/26/2020
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Provider Practice Location Address
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Address Line | 3465 W CRAIG RD STE C
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City | NORTH LAS VEGAS
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State | NV
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Zip | 89032-5121
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Country | US
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Telephone | 702-530-2749
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Fax |
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Provider Business Mailing Address
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Address Line | 3465 W CRAIG RD STE C
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City | NORTH LAS VEGAS
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State | NV
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Zip | 89032-5121
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Country | US
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Telephone | 702-530-2749
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. CHERYL EVERAGE
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Credential | LADC-S, LADC, MAC
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Telephone | 702-530-2749
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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