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General NPI Number Information
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NPI Number | 1043741002
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Entity Type | Organization
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Legal Business Name | VMAE CORP
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Dates
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Enumeration Date | 03/22/2017
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Last Update Date | 03/22/2017
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Provider Practice Location Address
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Address Line | 5276 DAKOTAH POINTE CT
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City | NORTH LAS VEGAS
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State | NV
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Zip | 89031-3411
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Country | US
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Telephone | 702-506-7846
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Fax |
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Provider Business Mailing Address
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Address Line | 2701 N RAINBOW BLVD APT 2149
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City | LAS VEGAS
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State | NV
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Zip | 89108-7109
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Country | US
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Telephone | 702-772-6652
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Fax |
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Authorized Official
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Title or Position | SECRETARY
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Name | MS. YAMINA KHAMEELAH JONES
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Credential |
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Telephone | 702-772-6652
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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 |
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License Number State |
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