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General NPI Number Information
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NPI Number | 1871819375
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Entity Type | Organization
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Legal Business Name | GOD LOVES EVERYTHING ABOUT ME, INC
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Dates
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Enumeration Date | 04/09/2010
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Last Update Date | 04/09/2010
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Provider Practice Location Address
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Address Line | 4717 BOULDER BAY ST
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City | NORTH LAS VEGAS
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State | NV
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Zip | 89081-3295
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Country | US
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Telephone | 702-787-4341
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 335983
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City | NORTH LAS VEGAS
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State | NV
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Zip | 89033-5983
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Country | US
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Telephone | 702-787-4341
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Fax |
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Authorized Official
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Title or Position | CO-DIRECTOR
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Name | LATIA WHITE
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Credential |
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Telephone | 702-787-4341
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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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 | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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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 | 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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Taxonomy #5
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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