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General NPI Number Information
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NPI Number | 1588821938
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Entity Type | Organization
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Legal Business Name | FOCAL POINT ACADEMY
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Dates
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Enumeration Date | 05/21/2008
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Last Update Date | 05/21/2008
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Provider Practice Location Address
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Address Line | 560 W MESQUITE BLVD
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City | MESQUITE
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State | NV
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Zip | 89027-5137
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Country | US
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Telephone | 702-345-4477
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Fax |
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Provider Business Mailing Address
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Address Line | 560 W MESQUITE BLVD
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City | MESQUITE
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State | NV
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Zip | 89027-5137
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Country | US
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Telephone | 702-345-4477
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. SHAQUEL A CANNON
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Credential |
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Telephone | 702-346-1647
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 322D00000X
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Taxonomy Name | Emotionally Disturbed Childrens' Residential Treatment Facility
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License Number | GF1253988850001
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License Number State | NV
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