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General NPI Number Information
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NPI Number | 1689057598
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Entity Type | Organization
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Legal Business Name | SUMMIT COMMUNITY SERVICES
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Dates
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Enumeration Date | 07/09/2015
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Last Update Date | 07/09/2015
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Provider Practice Location Address
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Address Line | 3017 W CHARLESTON BLVD SUITE 70
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City | LAS VEGAS
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State | NV
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Zip | 89102-1941
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Country | US
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Telephone | 702-823-3910
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Fax | 702-823-1313
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Provider Business Mailing Address
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Address Line | 3017 W CHARLESTON BLVD SUITE 70
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City | LAS VEGAS
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State | NV
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Zip | 89102-1941
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Country | US
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Telephone | 702-823-3910
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Fax | 702-823-1313
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Authorized Official
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Title or Position | DIRECTOR
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Name | CYNTHIA CASTILLO
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Credential |
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Telephone | 702-823-3910
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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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