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General NPI Number Information
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NPI Number | 1346880291
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Entity Type | Organization
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Legal Business Name | HEART2HEARTLV
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Dates
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Enumeration Date | 01/08/2020
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Last Update Date | 02/08/2021
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Provider Practice Location Address
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Address Line | 900 KAREN AVE STE C202
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City | LAS VEGAS
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State | NV
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Zip | 89109-1276
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Country | US
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Telephone | 702-302-9337
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Fax |
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Provider Business Mailing Address
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Address Line | 3233 SABINO CANYON ST
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City | LAS VEGAS
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State | NV
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Zip | 89129-6106
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Country | US
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Telephone | 702-302-9337
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Fax |
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Authorized Official
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Title or Position | CEO FOUNDER
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Name | JENNIFER MACKEY
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Credential |
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Telephone | 702-302-9337
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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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