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General NPI Number Information
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NPI Number | 1679984652
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Entity Type | Organization
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Legal Business Name | REMEDY SERVICES LLC
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Dates
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Enumeration Date | 05/13/2014
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Last Update Date | 05/13/2014
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Provider Practice Location Address
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Address Line | 2655 S RAINBOW BLVD #407
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City | LAS VEGAS
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State | NV
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Zip | 89146-4000
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Country | US
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Telephone | 702-750-2682
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Fax | 702-750-9180
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Provider Business Mailing Address
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Address Line | 2655 S RAINBOW BLVD #407
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City | LAS VEGAS
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State | NV
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Zip | 89146-4000
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Country | US
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Telephone | 702-750-2682
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Fax | 702-750-9180
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Authorized Official
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Title or Position | RMH PROVIDER
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Name | THERESA L BRITO
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Credential |
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Telephone | 702-713-9742
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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