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General NPI Number Information
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NPI Number | 1215749163
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Entity Type | Organization
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Legal Business Name | STRONGBRIDGE INTEGRATED SOLUTIONS LLC
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Dates
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Enumeration Date | 01/27/2025
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Last Update Date | 01/27/2025
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Provider Practice Location Address
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Address Line | 4442 AVERY PARK AVE
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City | LAS VEGAS
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State | NV
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Zip | 89110-5488
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Country | US
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Telephone | 702-541-4817
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Fax |
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Provider Business Mailing Address
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Address Line | 4442 AVERY PARK AVE
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City | LAS VEGAS
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State | NV
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Zip | 89110-5488
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Country | US
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Telephone | 702-541-4817
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Fax |
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Authorized Official
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Title or Position | MD
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Name | OLUGBENGA OBAJUWONLO
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Credential |
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Telephone | 702-541-4817
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106E00000X
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Taxonomy Name | Assistant Behavior Analyst
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103TB0200X
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Taxonomy Name | Cognitive & Behavioral Psychologist
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License Number |
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License Number State |
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