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General NPI Number Information
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NPI Number | 1871100776
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Entity Type | Organization
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Legal Business Name | JOANNE CULVER
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Dates
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Enumeration Date | 09/25/2020
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Last Update Date | 02/17/2025
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Provider Practice Location Address
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Address Line | 800 N RAINBOW BLVD STE 208
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City | LAS VEGAS
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State | NV
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Zip | 89107-1193
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Country | US
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Telephone | 725-205-2668
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Fax |
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Provider Business Mailing Address
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Address Line | 800 N RAINBOW BLVD STE 208
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City | LAS VEGAS
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State | NV
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Zip | 89107-1193
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Country | US
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Telephone | 725-205-2668
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Fax |
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Authorized Official
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Title or Position | OWNER / AUTH OFFICIAL
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Name | JOANNE CULVER
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Credential | LCADC
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Telephone | 725-205-2668
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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