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General NPI Number Information
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NPI Number | 1033902960
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Entity Type | Organization
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Legal Business Name | BHSND-PLLC
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Dates
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Enumeration Date | 05/23/2025
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Last Update Date | 07/23/2025
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Provider Practice Location Address
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Address Line | 2200 PASEO VERDE PKWY STE 190
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City | HENDERSON
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State | NV
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Zip | 89052-2703
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Country | US
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Telephone | 702-589-4871
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Fax |
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Provider Business Mailing Address
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Address Line | 2200 PASEO VERDE PKWY STE 190
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City | HENDERSON
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State | NV
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Zip | 89052-2703
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Country | US
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Telephone | 702-589-4871
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Fax | 702-589-4872
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Authorized Official
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Title or Position | LEAD CREDENTIALING SPECIALIST
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Name | JULIAN CORTEZ
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Credential | LEAD
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Telephone | 702-473-9841
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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