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General NPI Number Information
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NPI Number | 1497271712
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Entity Type | Organization
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Legal Business Name | IN FOCUS BEHAVIORAL HEALTH LLC
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Dates
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Enumeration Date | 08/17/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 810 DESERT STORM ST APT 103
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City | LAS VEGAS
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State | NV
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Zip | 89110-2470
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Country | US
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Telephone | 702-971-4938
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Fax |
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Provider Business Mailing Address
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Address Line | 810 DESERT STORM ST APT 103
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City | LAS VEGAS
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State | NV
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Zip | 89110-2470
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Country | US
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Telephone | 702-971-4938
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Fax |
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Authorized Official
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Title or Position | BST
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Name | CHRISTOPHER WHITE
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Credential |
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Telephone | 702-971-4938
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106E00000X
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Taxonomy Name | Assistant Behavior Analyst
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License Number |
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License Number State |
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