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General NPI Number Information
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NPI Number | 1043704471
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Entity Type | Organization
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Legal Business Name | LOVE IS PATIENCE HEALTH & WELLNESS
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Dates
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Enumeration Date | 06/19/2018
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Last Update Date | 06/19/2018
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Provider Practice Location Address
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Address Line | 1915 SIMMONS ST APT 2130
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City | LAS VEGAS
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State | NV
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Zip | 89106-1560
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Country | US
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Telephone | 213-422-1650
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Fax |
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Provider Business Mailing Address
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Address Line | 1050 WHITNEY RANCH DR APT 1925
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City | HENDERSON
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State | NV
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Zip | 89014-2547
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Country | US
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Telephone | 213-422-1650
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | COMMORAH LYLES - MAY
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Credential |
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Telephone | 213-422-1650
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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 | NV20181437177
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License Number State | NV
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