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General NPI Number Information
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NPI Number | 1538499801
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Entity Type | Organization
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Legal Business Name | VALLEY VIEW COMMUNITY CARES BEHAVIORAL HEALTH
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Dates
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Enumeration Date | 01/07/2010
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Last Update Date | 01/07/2010
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Provider Practice Location Address
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Address Line | 2037 ENGLESTAD ST
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City | NORTH LAS VEGAS
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State | NV
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Zip | 89030-4026
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Country | US
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Telephone | 702-480-6421
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Fax |
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Provider Business Mailing Address
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Address Line | 2037 ENGLESTAD ST
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City | NORTH LAS VEGAS
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State | NV
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Zip | 89030-4026
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Country | US
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Telephone | 702-480-6421
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. YLONDA DICKERSON
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Credential |
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Telephone | 702-480-6421
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302R00000X
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Taxonomy Name | Health Maintenance Organization
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License Number |
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License Number State |
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