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General NPI Number Information
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NPI Number | 1649061037
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Entity Type | Organization
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Legal Business Name | NEVADA HEALTH ALLIANCE INC
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Dates
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Enumeration Date | 05/14/2025
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Last Update Date | 05/14/2025
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Provider Practice Location Address
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Address Line | 601 S RANCHO DR STE D34
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City | LAS VEGAS
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State | NV
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Zip | 89106-4874
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Country | US
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Telephone | 725-207-8109
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Fax | 702-749-6255
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Provider Business Mailing Address
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Address Line | 601 S RANCHO DR STE D34
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City | LAS VEGAS
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State | NV
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Zip | 89106-4874
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Country | US
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Telephone | 725-207-8109
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Fax | 702-749-6255
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Authorized Official
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Title or Position | BUSINESS OFFICE MANAGER
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Name | SA'DE MARTIN
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Credential |
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Telephone | 725-207-8109
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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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