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General NPI Number Information
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NPI Number | 1326362930
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Entity Type | Organization
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Legal Business Name | XL BEHAVIORAL HEALTH SERVICES LLC
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Dates
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Enumeration Date | 03/25/2010
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Last Update Date | 05/10/2019
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Provider Practice Location Address
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Address Line | 2030 E FLAMINGO RD STE 140
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City | LAS VEGAS
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State | NV
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Zip | 89119-0831
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Country | US
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Telephone | 702-510-3352
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Fax |
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Provider Business Mailing Address
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Address Line | 7471 PROUD MEADOWS ST
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City | LAS VEGAS
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State | NV
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Zip | 89131-2340
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Country | US
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Telephone | 702-510-3352
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMEBER
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Name | MR. SCOTT L THOMPSON
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Credential | LCSW
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Telephone | 808-780-9117
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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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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 5316-C
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License Number State | NV
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