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General NPI Number Information
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NPI Number | 1780189696
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Entity Type | Organization
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Legal Business Name | ONE DAY AT A TIME, LLC
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Dates
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Enumeration Date | 03/25/2018
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Last Update Date | 05/29/2020
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Provider Practice Location Address
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Address Line | 2225 E FLAMINGO RD BLDG 2, STE 307
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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 | 702-737-0040
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Fax | 702-737-0041
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Provider Business Mailing Address
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Address Line | 5600 E RUSSELL RD UNIT 2412
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City | LAS VEGAS
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State | NV
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Zip | 89122-8017
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Country | US
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Telephone | 702-769-1277
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Fax | 702-737-0041
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Authorized Official
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Title or Position | PART OWNER
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Name | VALENCIA AMOS
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Credential |
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Telephone | 702-737-0040
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | NV20181099401
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License Number State | NV
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