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General NPI Number Information
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NPI Number | 1689396814
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Entity Type | Organization
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Legal Business Name | PAPILLION MENTAL HEALTH
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Dates
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Enumeration Date | 09/14/2022
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Last Update Date | 09/14/2022
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Provider Practice Location Address
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Address Line | 2428 SABADO ST
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City | LAS VEGAS
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State | NV
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Zip | 89121-4125
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Country | US
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Telephone | 702-569-7907
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 60752
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City | LAS VEGAS
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State | NV
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Zip | 89160-0752
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | KRISTA MICHELLE DOWNING
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Credential | LCSW
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Telephone | 702-751-6350
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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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