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General NPI Number Information
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NPI Number | 1821416322
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Entity Type | Organization
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Legal Business Name | SIMPLE HEALTH DECISIONS, LLC
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Dates
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Enumeration Date | 04/01/2014
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Last Update Date | 04/01/2014
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Provider Practice Location Address
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Address Line | 7473 W LAKE MEAD BLVD SUITE 100
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City | LAS VEGAS
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State | NV
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Zip | 89128-0265
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Country | US
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Telephone | 702-303-1899
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Fax | 702-228-2760
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Provider Business Mailing Address
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Address Line | 7473 W LAKE MEAD BLVD SUITE 100
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City | LAS VEGAS
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State | NV
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Zip | 89128-0265
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Country | US
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Telephone | 702-562-1232
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Fax | 702-562-1287
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Authorized Official
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Title or Position | MANAGER/OWNER
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Name | MS. DEIDRE JENKINS
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Credential | LMFT
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Telephone | 702-303-1899
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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 |
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License Number State | NV
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