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General NPI Number Information
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NPI Number | 1275339418
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Entity Type | Organization
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Legal Business Name | CITY OF LAS VEGAS
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Dates
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Enumeration Date | 02/19/2025
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Last Update Date | 02/19/2025
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Provider Practice Location Address
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Address Line | 500 N CASINO CENTER BLVD
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City | LAS VEGAS
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State | NV
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Zip | 89101-2944
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Country | US
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Telephone | 702-383-2888
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 748029
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City | LOS ANGELES
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State | CA
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Zip | 90074-8029
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Country | US
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Telephone | 702-383-2888
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Fax |
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Authorized Official
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Title or Position | CRT PROGRAM MANAGER
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Name | HEATHER THANEPOHN
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Credential |
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Telephone | 702-766-3188
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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Taxonomy #6
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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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