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General NPI Number Information
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NPI Number | 1023572658
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Entity Type | Organization
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Legal Business Name | NEVADA FIRST CHOICE
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Dates
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Enumeration Date | 01/28/2019
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Last Update Date | 06/02/2020
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Provider Practice Location Address
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Address Line | 209 E BASELINE RD
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City | TEMPE
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State | AZ
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Zip | 85283-1269
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Country | US
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Telephone | 702-203-5591
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Fax |
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Provider Business Mailing Address
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Address Line | 6524 COPPER SMITH CT
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City | NORTH LAS VEGAS
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State | NV
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Zip | 89084-2216
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Country | US
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Telephone | 702-203-5591
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SHARON LAAWSON
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Credential |
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Telephone | 702-203-5591
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320600000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Residential Treatment Facility
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License Number |
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License Number State |
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