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General NPI Number Information
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NPI Number | 1265740989
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Entity Type | Organization
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Legal Business Name | DAO GROUP
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Dates
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Enumeration Date | 09/15/2010
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Last Update Date | 09/15/2010
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Provider Practice Location Address
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Address Line | 4443 SUN VISTA DR
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City | LAS VEGAS
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State | NV
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Zip | 89104-5450
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Country | US
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Telephone | 702-339-4593
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Fax |
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Provider Business Mailing Address
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Address Line | 4262 BLUE DIAMOND RD. SUITE 102-297
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City | LAS VEGAS
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State | NV
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Zip | 89139
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Country | US
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Telephone | 702-339-4593
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Fax | 877-435-6030
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MS. KIM VAN MARTIN
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Credential |
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Telephone | 702-339-4593
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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 |
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License Number State |
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