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NPI 1831472075

NPI 1831472075 : TRANSPARENT BEHAVIORAL HEALTH : LAS VEGAS, NV

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General NPI Number Information
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    NPI Number           |    1831472075
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    Entity Type          |    Organization 
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    Legal Business Name  |    TRANSPARENT BEHAVIORAL HEALTH 
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Dates
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    Enumeration Date     |    09/23/2011
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    Last Update Date     |    09/23/2011
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Provider Practice Location Address
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    Address Line         |    2962 MANSFIELD AVE 
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    City                 |    LAS VEGAS
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    State                |    NV
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    Zip                  |    89121-1306
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    Country              |    US
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    Telephone            |    702-582-9804
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2962 MANSFIELD AVE 
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    City                 |    LAS VEGAS
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    State                |    NV
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    Zip                  |    89121-1306
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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    |    OWNER
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    Name                 |     JOSEPH  SCOTT 
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    Credential           |    
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    Telephone            |    702-582-9804
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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 |    
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