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General NPI Number Information
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NPI Number | 1710603360
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Entity Type | Organization
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Legal Business Name | INFINITY AND BEYOND HOLISTIC CARE
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Dates
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Enumeration Date | 10/17/2022
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Last Update Date | 10/17/2022
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Provider Practice Location Address
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Address Line | 3320 MOUNTAIN SKIES CT
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City | NORTH LAS VEGAS
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State | NV
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Zip | 89032-8237
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Country | US
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Telephone | 503-995-4455
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Fax |
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Provider Business Mailing Address
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Address Line | 6462 N LOSEE RD
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City | NORTH LAS VEGAS
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State | NV
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Zip | 89086-0103
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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 | PRESIDENT
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Name | MUNIRAH BROWN
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Credential |
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Telephone | 503-995-4455
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320700000X
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Taxonomy Name | Physical Disabilities Residential Treatment Facility
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License Number |
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License Number State |
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