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General NPI Number Information
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NPI Number | 1225952955
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Entity Type | Organization
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Legal Business Name | REALLY REACHING BEYOND
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Dates
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Enumeration Date | 08/06/2026
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Last Update Date | 08/06/2026
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Provider Practice Location Address
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Address Line | 2725 S JONES BLVD
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City | LAS VEGAS
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State | NV
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Zip | 89146-5667
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Country | US
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Telephone | 702-703-5796
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Fax | 702-931-9862
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Provider Business Mailing Address
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Address Line | 11586 MONTE ISOLA ST # AT
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City | LAS VEGAS
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State | NV
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Zip | 89141-3296
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Country | US
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Telephone | 702-703-5796
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Fax |
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Authorized Official
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Title or Position | SECRETARY
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Name | CHERRELLE CUTLIFF
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Credential |
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Telephone | 775-462-2140
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number |
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License Number State |
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