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General NPI Number Information
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NPI Number | 1699426239
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Entity Type | Organization
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Legal Business Name | T & P WHOLE LIFE SERVCIES LLC
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Dates
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Enumeration Date | 01/14/2022
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Last Update Date | 01/14/2022
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Provider Practice Location Address
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Address Line | 2595 S CIMARRON RD STE 200
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City | LAS VEGAS
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State | NV
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Zip | 89117-2698
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Country | US
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Telephone | 702-726-1242
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Fax |
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Provider Business Mailing Address
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Address Line | 844 N RAINBOW BLVD # 185
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City | LAS VEGAS
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State | NV
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Zip | 89107-1103
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Country | US
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Telephone | 702-726-1242
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. TIMOTHY W HEWITT II
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Credential |
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Telephone | 702-726-1242
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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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