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General NPI Number Information
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NPI Number | 1558837542
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Entity Type | Organization
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Legal Business Name | OF SOUND MIND BEHAVIORAL HEALTH LLC
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Dates
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Enumeration Date | 10/17/2018
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Last Update Date | 10/17/2018
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Provider Practice Location Address
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Address Line | 1516 E TROPICANA AVE # 158
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City | LAS VEGAS
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State | NV
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Zip | 89119-6525
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Country | US
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Telephone | 219-689-9333
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Fax |
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Provider Business Mailing Address
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Address Line | 1516 E TROPICANA AVE # 158
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City | LAS VEGAS
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State | NV
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Zip | 89119-6525
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Country | US
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Telephone | 219-689-9333
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | SHARON JONES
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Credential |
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Telephone | 708-929-2019
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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