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General NPI Number Information
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NPI Number | 1144557042
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Entity Type | Organization
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Legal Business Name | MOJAVE BEHAVIORAL HEALTH, LLC
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Dates
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Enumeration Date | 11/12/2009
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 6655 W SAHARA AVE SUITE# E102
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City | LAS VEGAS
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State | NV
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Zip | 89146-0842
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Country | US
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Telephone | 702-789-8812
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Fax | 702-818-8654
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Provider Business Mailing Address
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Address Line | 6655 W SAHARA AVE SUITE# E102
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City | LAS VEGAS
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State | NV
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Zip | 89146-0842
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Country | US
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Telephone | 702-789-8812
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Fax | 702-818-8654
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Authorized Official
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Title or Position | CLINICAL DIRECTOR
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Name | MR. PHILLIP KARPINSKI
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Credential | LCSW
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Telephone | 702-461-1797
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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 | NV
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