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General NPI Number Information
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NPI Number | 1881172245
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Entity Type | Organization
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Legal Business Name | LEAST OF THEM TRANSITIONAL SUPPORT SERVICES
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Dates
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Enumeration Date | 07/29/2018
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Last Update Date | 05/13/2021
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Provider Practice Location Address
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Address Line | 5715 W ALEXANDER RD STE 110
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City | LAS VEGAS
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State | NV
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Zip | 89130-2815
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Country | US
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Telephone | 702-400-7191
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Fax | 702-333-4337
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Provider Business Mailing Address
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Address Line | 5715 W ALEXANDER RD STE 110
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City | LAS VEGAS
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State | NV
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Zip | 89130-2815
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Country | US
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Telephone | 702-400-7191
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Fax | 702-333-4337
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Authorized Official
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Title or Position | PRESIDENT
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Name | VIRGINIA M KENRDID
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Credential |
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Telephone | 700-400-7191
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | NV20171509097
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | NV20171509097
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License Number State | NV
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Taxonomy #3
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Taxonomy Code | 207QA0401X
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Taxonomy Name | Addiction Medicine (Family Medicine) Physician
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License Number | NV20171509097
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License Number State | NV
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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 | NV20171509097
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License Number State | NV
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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 | NV20171509097
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License Number State | NV
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Taxonomy #6
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number | NV20171509097
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License Number State | NV
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Taxonomy #8
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Taxonomy Code | 3245S0500X
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Taxonomy Name | Children's Substance Abuse Rehabilitation Facility
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License Number | NV20171509097
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License Number State | NV
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Taxonomy #9
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | NV20171509097
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License Number State | NV
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Taxonomy #10
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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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