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General NPI Number Information
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NPI Number | 1588455430
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Entity Type | Organization
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Legal Business Name | GREEN VALLEY CONSULTING CORP
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Dates
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Enumeration Date | 05/12/2025
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Last Update Date | 05/13/2025
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Provider Practice Location Address
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Address Line | 710 CORONADO CENTER DR STE 110
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City | HENDERSON
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State | NV
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Zip | 89052-4290
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Country | US
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Telephone | 702-778-9500
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Fax |
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Provider Business Mailing Address
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Address Line | 233 DESERT ARROYO CT
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City | HENDERSON
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State | NV
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Zip | 89012-4856
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Country | US
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Telephone | 702-778-9500
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | SUSAN J DEVITO
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Credential |
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Telephone | 702-778-9500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171400000X
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Taxonomy Name | Health & Wellness Coach
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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 | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QD1600X
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Taxonomy Name | Developmental Disabilities Clinic/Center
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License Number |
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License Number State |
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