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General NPI Number Information
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NPI Number | 1841507449
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Entity Type | Organization
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Legal Business Name | INNOVATIVE COLLABORATION SUPPORT SERVICES, LLC
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Dates
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Enumeration Date | 09/03/2010
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Last Update Date | 09/03/2010
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Provider Practice Location Address
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Address Line | 4400 S JONES BLVD UNIT 1055
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City | LAS VEGAS
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State | NV
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Zip | 89103-3339
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Country | US
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Telephone | 702-476-9405
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Fax |
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Provider Business Mailing Address
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Address Line | 4400 S JONES BLVD UNIT 1055
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City | LAS VEGAS
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State | NV
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Zip | 89103-3339
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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 | CLINICAL DIRECTOR
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Name | MR. MICHAEL DONNELL BRIDGES
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Credential | MA
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Telephone | 702-476-9405
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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 | 251S00000X
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License Number State | NV
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