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General NPI Number Information
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NPI Number | 1457849077
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Entity Type | Organization
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Legal Business Name | HEALTHCARE PLUS LLC
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Dates
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Enumeration Date | 04/30/2018
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Last Update Date | 11/20/2019
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Provider Practice Location Address
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Address Line | 4723 E FLAMINGO RD
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City | LAS VEGAS
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State | NV
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Zip | 89121-4742
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Country | US
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Telephone | 702-448-3332
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Fax | 702-902-5401
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Provider Business Mailing Address
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Address Line | 4718 E FLAMINGO RD
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City | LAS VEGAS
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State | NV
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Zip | 89121-4709
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Country | US
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Telephone | 702-902-5400
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Fax | 702-902-5401
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Authorized Official
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Title or Position | MANAGING EMPLOYEE
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Name | COSMAS EZE
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Credential | THERAPIST
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Telephone | 702-448-3332
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number |
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License Number State |
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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 |
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License Number State |
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