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NPI 1134899909

NPI 1134899909 : TRUE PEACE THERAPY SERVICES LLC : LAS VEGAS, NV

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General NPI Number Information
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    NPI Number           |    1134899909
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    Entity Type          |    Organization 
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    Legal Business Name  |    TRUE PEACE THERAPY SERVICES LLC 
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Dates
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    Enumeration Date     |    09/14/2021
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    Last Update Date     |    09/14/2021
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Provider Practice Location Address
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    Address Line         |    1180 N TOWN CENTER DR STE 100 
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    City                 |    LAS VEGAS
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    State                |    NV
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    Zip                  |    89144-6308
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    Country              |    US
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    Telephone            |    702-703-4246
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    11700 W CHARLESTON BLVD # 170-725 
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    City                 |    LAS VEGAS
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    State                |    NV
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    Zip                  |    89135-1573
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    Country              |    US
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    Telephone            |    702-581-7000
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     KENDLE LYNNE KULPA 
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    Credential           |    
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    Telephone            |    702-581-7000
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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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