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General NPI Number Information
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NPI Number | 1326469990
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Entity Type | Organization
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Legal Business Name | MAGNETIC PATHWAYS LLC
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Dates
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Enumeration Date | 12/26/2013
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Last Update Date | 12/26/2013
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Provider Practice Location Address
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Address Line | 5820 S PECOS RD SUITE 100
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City | LAS VEGAS
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State | NV
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Zip | 89120-5431
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Country | US
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Telephone | 702-336-5964
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Fax | 702-586-7291
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Provider Business Mailing Address
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Address Line | 5820 S PECOS RD SUITE 100
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City | LAS VEGAS
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State | NV
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Zip | 89120-5431
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Country | US
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Telephone | 702-336-5964
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Fax | 702-586-7291
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Authorized Official
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Title or Position | OWNER
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Name | MS. NANCY E FAYE
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Credential | MSW
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Telephone | 702-336-5964
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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 | 5151-C
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License Number State | NV
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