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General NPI Number Information
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NPI Number | 1841722816
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Entity Type | Organization
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Legal Business Name | FRANKLIN INTEGRATIVE THERAPY SERVICES, PLLC
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Dates
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Enumeration Date | 03/29/2017
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Last Update Date | 03/29/2017
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Provider Practice Location Address
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Address Line | 5836 S PECOS RD SUITE 205
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City | LAS VEGAS
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State | NV
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Zip | 89120-3418
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Country | US
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Telephone | 702-483-7780
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Fax |
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Provider Business Mailing Address
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Address Line | 5836 S PECOS RD SUITE 205
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City | LAS VEGAS
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State | NV
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Zip | 89120-3418
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Country | US
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Telephone | 702-483-7780
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Fax |
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Authorized Official
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Title or Position | MEMBER/MENTAL HEALTH THERAPIST
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Name | MR. MICHAEL JOHN FRANKLIN
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Credential | MS, CPC-I
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Telephone | 702-480-7783
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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 | NV20171111533
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License Number State | NV
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