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General NPI Number Information
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NPI Number | 1598461584
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Entity Type | Organization
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Legal Business Name | BEHAVIORAL HEALTHCARE CONSULTANT LLC
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Dates
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Enumeration Date | 02/01/2023
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Last Update Date | 06/27/2025
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Provider Practice Location Address
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Address Line | 3455 W CRAIG RD STE C
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City | NORTH LAS VEGAS
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State | NV
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Zip | 89032-5119
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Country | US
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Telephone | 702-625-0146
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Fax |
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Provider Business Mailing Address
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Address Line | 5205 WILD SUNFLOWER ST
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City | NORTH LAS VEGAS
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State | NV
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Zip | 89081-4037
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Country | US
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Telephone | 702-625-0146
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | HABIB KHAN
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Credential |
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Telephone | 512-201-6766
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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