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General NPI Number Information
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NPI Number | 1033302252
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Entity Type | Organization
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Legal Business Name | LAS VEGAS PSYCHIATRY LLC
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Dates
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Enumeration Date | 08/21/2007
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Last Update Date | 08/21/2007
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Provider Practice Location Address
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Address Line | 3501 W CHARLESTON BLVD
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City | LAS VEGAS
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State | NV
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Zip | 89102-1839
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Country | US
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Telephone | 702-227-4165
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Fax | 702-227-7921
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Provider Business Mailing Address
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Address Line | 3501 W CHARLESTON BLVD
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City | LAS VEGAS
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State | NV
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Zip | 89102-1839
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Country | US
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Telephone | 702-227-4165
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Fax | 702-227-7921
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Authorized Official
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Title or Position | NURSE PRACTITIONER
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Name | MR. CURTIS D CHILD
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Credential | APRN
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Telephone | 702-227-4165
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | APN00448
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License Number State | NV
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