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General NPI Number Information
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NPI Number | 1386042505
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Entity Type | Organization
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Legal Business Name | BEHAVIORAL HEALTH ASSOCIATES
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Dates
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Enumeration Date | 12/22/2014
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Last Update Date | 12/22/2014
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Provider Practice Location Address
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Address Line | 4445 S JONES BLVD STE 2
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City | LAS VEGAS
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State | NV
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Zip | 89103-3373
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Country | US
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Telephone | 702-577-0399
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Fax |
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Provider Business Mailing Address
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Address Line | 4445 S JONES BLVD STE 2
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City | LAS VEGAS
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State | NV
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Zip | 89103-3373
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGING PARTNER
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Name | DR. AMITABH SINGH
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Credential | MD
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Telephone | 702-577-0399
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084B0040X
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Taxonomy Name | Behavioral Neurology & Neuropsychiatry Physician
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License Number | 11964
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License Number State | NV
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