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General NPI Number Information
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NPI Number | 1386705580
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Entity Type | Organization
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Legal Business Name | FOUNDATION FOR POSITIVELY KIDS
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Dates
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Enumeration Date | 12/12/2006
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Last Update Date | 04/16/2025
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Provider Practice Location Address
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Address Line | 4375 LAS VEGAS BLVD N STE 10
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City | LAS VEGAS
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State | NV
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Zip | 89115-0587
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Country | US
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Telephone | 702-262-0037
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Fax | 702-272-2421
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Provider Business Mailing Address
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Address Line | 4375 LAS VEGAS BLVD N STE 10
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City | LAS VEGAS
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State | NV
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Zip | 89115-0587
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Country | US
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Telephone | 702-262-0037
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Fax | 702-272-2421
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Authorized Official
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Title or Position | FINANCE DIRECTOR
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Name | MRS. JEANETTE SMITH
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Credential |
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Telephone | 702-262-0037
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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