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General NPI Number Information
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NPI Number | 1629593538
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Entity Type | Organization
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Legal Business Name | ALLIED BEHAVIORAL HEALTH SERVICE
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Dates
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Enumeration Date | 08/11/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 2225 E FLAMINGO RD STE 100
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City | LAS VEGAS
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State | NV
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Zip | 89119-5126
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Country | US
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Telephone | 562-203-9014
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Fax |
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Provider Business Mailing Address
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Address Line | 2225 E FLAMINGO RD STE 100
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City | LAS VEGAS
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State | NV
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Zip | 89119-5126
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Country | US
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Telephone | 562-203-9014
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MADLYNN DAWN MCCLENDON
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Credential |
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Telephone | 702-504-1743
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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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