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General NPI Number Information
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NPI Number | 1649716176
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Entity Type | Organization
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Legal Business Name | METROPOLITAN BEHAVIORAL HEALTH LLC
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Dates
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Enumeration Date | 01/08/2017
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Last Update Date | 01/30/2017
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Provider Practice Location Address
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Address Line | 800 N RAINBOW BLVD STE 208
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City | LAS VEGAS
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State | NV
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Zip | 89107-1193
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Country | US
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Telephone | 702-354-0017
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Fax | 702-948-5001
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Provider Business Mailing Address
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Address Line | 800 N RAINBOW BLVD STE 208
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City | LAS VEGAS
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State | NV
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Zip | 89107-1193
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Country | US
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Telephone | 702-354-0017
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Fax | 702-948-5001
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Authorized Official
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Title or Position | CEO
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Name | MS. KIMBERLY ARSON
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Credential |
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Telephone | 702-354-0017
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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 | NV20161739541
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License Number State | NV
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