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General NPI Number Information
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NPI Number | 1437384229
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Entity Type | Organization
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Legal Business Name | SOUTHERN NEVADA CHILDREN FIRST
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Dates
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Enumeration Date | 05/21/2009
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Last Update Date | 05/22/2009
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Provider Practice Location Address
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Address Line | 1100 MERIDIAN BAY DR
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City | LAS VEGAS
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State | NV
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Zip | 89128-1625
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Country | US
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Telephone | 702-719-9773
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Fax | 702-897-2984
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Provider Business Mailing Address
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Address Line | 9811 W CHARLESTON BLVD # 2-863
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City | LAS VEGAS
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State | NV
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Zip | 89117-7528
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Country | US
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Telephone | 702-719-9773
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Fax | 702-897-2984
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Authorized Official
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Title or Position | EX DIRECTOR
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Name | MS. MONIQUE D HARRIS
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Credential | MSW
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Telephone | 702-719-9773
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number | 5139-S
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 5139-S
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License Number State | NV
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