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General NPI Number Information
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NPI Number | 1851524326
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Entity Type | Organization
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Legal Business Name | COMMUNITY RIGHT CONSULTING
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Dates
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Enumeration Date | 08/31/2009
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Last Update Date | 08/31/2009
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Provider Practice Location Address
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Address Line | 4144 THOMAS PATRICK AVE
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City | NORTH LAS VEGAS
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State | NV
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Zip | 89032-8942
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Country | US
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Telephone | 702-574-1857
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Fax |
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Provider Business Mailing Address
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Address Line | 4144 THOMAS PATRICK AVE.
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City | NORTH LAS VEGAS
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State | NV
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Zip | 89032-8942
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Country | US
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Telephone | 702-574-1857
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Fax |
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Authorized Official
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Title or Position | OWNER/CONSULTANT
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Name | MS. SHETONYA FORDHAM
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Credential |
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Telephone | 702-574-1857
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 0455
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License Number State | NV
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