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General NPI Number Information
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NPI Number | 1578404240
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Entity Type | Organization
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Legal Business Name | SIN CITY TREATMENT LLC
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Dates
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Enumeration Date | 04/04/2026
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Last Update Date | 04/04/2026
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Provider Practice Location Address
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Address Line | 827 SCHOONER DR
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City | HENDERSON
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State | NV
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Zip | 89015-5660
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Country | US
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Telephone | 949-648-7475
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Fax |
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Provider Business Mailing Address
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Address Line | 827 SCHOONER DR
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City | HENDERSON
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State | NV
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Zip | 89015-5660
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Country | US
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Telephone | 949-648-7475
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | CHARLES HARRIS
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Credential | CADC-III
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Telephone | 949-566-5543
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number |
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License Number State |
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