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General NPI Number Information
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NPI Number | 1720526478
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Entity Type | Organization
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Legal Business Name | CONSERVATORY OF HOPE TREATMENT SERVICES LLC
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Dates
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Enumeration Date | 02/02/2017
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Last Update Date | 01/10/2024
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Provider Practice Location Address
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Address Line | 5755 S SANDHILL RD STE B
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City | LAS VEGAS
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State | NV
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Zip | 89120-2551
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Country | US
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Telephone | 725-205-0660
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Fax | 725-205-0199
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Provider Business Mailing Address
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Address Line | 5755 S SANDHILL RD STE B
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City | LAS VEGAS
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State | NV
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Zip | 89120-2551
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Country | US
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Telephone | 725-205-0660
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Fax | 725-205-0199
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Authorized Official
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Title or Position | CEO
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Name | AMBER CECILE GALBRAITH
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Credential | MS MFT
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Telephone | 702-476-1844
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | MP3819630
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License Number State | NV
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