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General NPI Number Information
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NPI Number | 1336698992
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Entity Type | Organization
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Legal Business Name | BREILAND AND WHEATLEY HEALTH SERVICES PLLC
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Dates
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Enumeration Date | 09/23/2016
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Last Update Date | 09/23/2016
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Provider Practice Location Address
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Address Line | 1000 N GREEN VALLEY PKWY SUITE 240-256
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City | HENDERSON
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State | NV
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Zip | 89074-6170
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Country | US
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Telephone | 702-878-8550
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Fax |
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Provider Business Mailing Address
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Address Line | 1000 N GREEN VALLEY PKWY SUITE 240-256
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City | HENDERSON
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State | NV
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Zip | 89074-6170
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Country | US
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Telephone | 702-878-8550
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SCOTT PROCTOR
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Credential |
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Telephone | 702-878-8550
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 01665-C
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 6249
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License Number State | NV
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