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General NPI Number Information
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NPI Number | 1700441359
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Entity Type | Organization
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Legal Business Name | THE HAMILTON CENTER FOR MENTAL AND BEHAVIORAL HEALTH SERVICES, LLC
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Dates
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Enumeration Date | 05/08/2019
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 1000 WIGWAM PKWY STE 100
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City | HENDERSON
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State | NV
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Zip | 89074-8164
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Country | US
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Telephone | 833-288-4764
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Fax |
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Provider Business Mailing Address
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Address Line | 23679 CALABASAS RD STE 954
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City | CALABASAS
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State | CA
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Zip | 91302-1502
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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 | CEO/EXECUTIVE DIRECTOR
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Name | VICTORIA BOONE
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Credential | LBA
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Telephone | 818-818-3591
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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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 | 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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