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General NPI Number Information
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NPI Number | 1265206742
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Entity Type | Organization
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Legal Business Name | FOCUS CARE PSYCHIATRY LLC
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Dates
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Enumeration Date | 11/14/2023
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Last Update Date | 10/27/2024
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Provider Practice Location Address
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Address Line | 245 SWEET SPOT ST
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City | HENDERSON
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State | NV
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Zip | 89074-7633
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Country | US
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Telephone | 702-324-7702
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Fax |
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Provider Business Mailing Address
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Address Line | 8904 OCHOA ST
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City | LAS VEGAS
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State | NV
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Zip | 89143-5450
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Country | US
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Telephone | 702-324-7702
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Fax |
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. TIMOTHY MARTIN
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Credential | DNP
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Telephone | 702-324-7702
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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