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General NPI Number Information
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NPI Number | 1649990029
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Entity Type | Organization
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Legal Business Name | TRIDENT BEHAVIORAL HEALTH LLC
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Dates
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Enumeration Date | 08/29/2022
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Last Update Date | 02/19/2023
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Provider Practice Location Address
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Address Line | 9315 W SUNSET RD STE 100
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City | LAS VEGAS
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State | NV
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Zip | 89148-5012
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Country | US
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Telephone | 702-638-7705
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Fax | 702-638-7706
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Provider Business Mailing Address
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Address Line | 9308 CANALINO DR
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City | LAS VEGAS
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State | NV
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Zip | 89134-0538
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Country | US
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Telephone | 702-533-7344
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Fax |
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Authorized Official
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Title or Position | PROVIDER
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Name | BELINDA ORDEN
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Credential | APRN
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Telephone | 702-533-7344
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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