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General NPI Number Information
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NPI Number | 1184182875
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Entity Type | Individual
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Provider Name | STEPHANIE PARTIDA LCSW, LCADC
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Gender | Female
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Dates
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Enumeration Date | 03/12/2019
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Last Update Date | 08/22/2022
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Provider Practice Location Address
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Address Line | 7868 WILD THISTLE CT
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City | LAS VEGAS
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State | NV
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Zip | 89149-1632
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Country | US
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Telephone | 760-937-0118
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Fax |
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Provider Business Mailing Address
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Address Line | 7868 WILD THISTLE CT
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City | LAS VEGAS
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State | NV
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Zip | 89149-1632
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Country | US
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Telephone | 760-937-0118
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Fax | 702-272-2011
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 07114-LC
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 9192-C
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License Number State | NV
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