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General NPI Number Information
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NPI Number | 1851574305
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Entity Type | Organization
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Legal Business Name | WESTCARE NEVADA INC
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Dates
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Enumeration Date | 12/06/2007
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Last Update Date | 05/20/2024
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Provider Practice Location Address
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Address Line | 323 N MARYLAND PKWY
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City | LAS VEGAS
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State | NV
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Zip | 89101-3130
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Country | US
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Telephone | 702-853-3330
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Fax | 702-924-2575
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Provider Business Mailing Address
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Address Line | 1711 WHITNEY MESA DR
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City | HENDERSON
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State | NV
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Zip | 89014-2080
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Country | US
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Telephone | 702-385-2090
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Fax | 702-924-2575
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Authorized Official
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Title or Position | COO
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Name | SHAWN A JENKINS
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Credential |
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Telephone | 702-385-2090
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number | N35000041112243
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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Taxonomy #5
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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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