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General NPI Number Information
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NPI Number | 1295399111
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Entity Type | Organization
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Legal Business Name | GYHE, LLC
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Dates
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Enumeration Date | 04/25/2019
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Last Update Date | 04/25/2019
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Provider Practice Location Address
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Address Line | 777 EAST QUARTZ AVENUE SUITE B & E
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City | JEAN
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State | NV
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Zip | 89019-8501
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Country | US
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Telephone | 702-723-5388
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Fax | 702-723-5389
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Provider Business Mailing Address
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Address Line | 777 E QUARTZ AVE # 7012
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City | JEAN
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State | NV
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Zip | 89019-8501
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Country | US
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Telephone | 702-723-5388
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Fax | 702-723-5389
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Authorized Official
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Title or Position | OWNER/MANAGER
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Name | MS. DEBRA RENADE WHITFIELD
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Credential | CPC-INTERN
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Telephone | 702-818-0247
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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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