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General NPI Number Information
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NPI Number | 1881842953
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Entity Type | Organization
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Legal Business Name | MCO LEGACY LLC
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Dates
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Enumeration Date | 09/03/2008
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Last Update Date | 04/01/2024
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Provider Practice Location Address
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Address Line | 2881 S VALLEY VIEW BLVD STE 1
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City | LAS VEGAS
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State | NV
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Zip | 89102-0145
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Country | US
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Telephone | 702-922-7015
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Fax | 702-922-6600
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Provider Business Mailing Address
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Address Line | 2881 S VALLEY VIEW BLVD STE 1
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City | LAS VEGAS
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State | NV
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Zip | 89102-0145
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Country | US
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Telephone | 702-922-7015
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Fax | 702-922-6600
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Authorized Official
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Title or Position | CLINICAL DIRECTOR
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Name | DR. PATRICK R SCOTT
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Credential | PHD LCSW DCSW FAPA
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Telephone | 702-922-7015
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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Taxonomy #3
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Taxonomy Code | 2084A0401X
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Taxonomy Name | Addiction Medicine (Psychiatry & Neurology) Physician
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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 | 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 #5
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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Taxonomy #6
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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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 | 2084B0040X
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Taxonomy Name | Behavioral Neurology & Neuropsychiatry Physician
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 2084P0802X
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Taxonomy Name | Addiction Psychiatry Physician
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License Number |
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Taxonomy #9
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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 #10
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #11
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #12
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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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