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General NPI Number Information
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NPI Number | 1851788277
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Entity Type | Organization
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Legal Business Name | P6 FAMILY SERVICES LLC
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Dates
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Enumeration Date | 04/23/2015
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Last Update Date | 04/23/2015
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Provider Practice Location Address
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Address Line | 2200 NORTH D'ANDREA PKWY #2411
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City | SPARKS
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State | NV
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Zip | 89434
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Country | US
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Telephone | 559-417-1626
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Fax |
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Provider Business Mailing Address
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Address Line | 2200 NORTH D'ANDREA PKWY #2411
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City | SPARKS
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State | NV
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Zip | 89434
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Country | US
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Telephone | 559-417-1626
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MRS. LINEA MOALA POUONO
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Credential |
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Telephone | 559-417-1626
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number | NV20151126835
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License Number State | NV
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