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General NPI Number Information
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NPI Number | 1205328994
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Entity Type | Individual
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Provider Name | ANTOINETTE D BELOTE-BINFORD
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Gender | Female
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Dates
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Enumeration Date | 05/30/2018
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Last Update Date | 06/13/2018
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Provider Practice Location Address
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Address Line | 3650 N RANCHO DR STE 112
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City | LAS VEGAS
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State | NV
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Zip | 89130
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Country | US
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Telephone | 702-569-6650
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Fax |
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Provider Business Mailing Address
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Address Line | 7345 S DURANGO DR # B107-137
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City | LAS VEGAS
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State | NV
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Zip | 89113-3653
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Country | US
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Telephone | 702-569-6650
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Fax |
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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 | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | NV20181357901
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License Number State | NV
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