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General NPI Number Information
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NPI Number | 1699583450
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Entity Type | Organization
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Legal Business Name | LAS VEGAS CHIPS
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Dates
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Enumeration Date | 12/26/2024
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Last Update Date | 12/27/2024
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Provider Practice Location Address
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Address Line | 3690 S EASTERN AVE
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City | LAS VEGAS
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State | NV
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Zip | 89169-3300
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Country | US
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Telephone | 702-560-6584
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Fax |
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Provider Business Mailing Address
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Address Line | 201 LAS VEGAS BLVD S
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City | LAS VEGAS
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State | NV
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Zip | 89101-5780
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Country | US
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Telephone | 702-560-6584
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MRS. ALEXANDRIA E. BROWN
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Credential |
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Telephone | 702-560-6584
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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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Taxonomy #2
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 175T00000X
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Taxonomy Name | Peer Specialist
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 385HR2050X
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Taxonomy Name | Respite Care Camp
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License Number |
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License Number State |
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