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General NPI Number Information
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NPI Number | 1750908000
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Entity Type | Organization
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Legal Business Name | OCEANS L.L.C.
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Dates
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Enumeration Date | 07/02/2020
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Last Update Date | 07/02/2020
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Provider Practice Location Address
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Address Line | 9799 ALEUTIAN ST
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City | LAS VEGAS
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State | NV
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Zip | 89178-3844
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Country | US
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Telephone | 702-741-1604
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Fax |
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Provider Business Mailing Address
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Address Line | 1350 EAST FLAMINGO ROAD SUITE 13B UNIT 610
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City | LAS VEGAS
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State | NV
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Zip | 89119
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Country | US
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Telephone | 775-301-2425
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Fax |
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Authorized Official
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Title or Position | CO-OWNER
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Name | MR. WILLIAM ADAM BROBST
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Credential | MFT-I
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Telephone | 775-301-2425
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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