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General NPI Number Information
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NPI Number | 1902230535
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Entity Type | Organization
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Legal Business Name | FAMILIES FIRST BEHAVIORAL HEALTH SERVICES
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Dates
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Enumeration Date | 08/30/2013
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Last Update Date | 08/30/2013
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Provider Practice Location Address
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Address Line | 3160 S VALLEY VIEW BLVD STE 107
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City | LAS VEGAS
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State | NV
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Zip | 89102-8316
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Country | US
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Telephone | 702-445-7611
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Fax | 702-445-7918
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Provider Business Mailing Address
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Address Line | 3160 S VALLEY VIEW BLVD STE 107
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City | LAS VEGAS
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State | NV
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Zip | 89102-8316
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Country | US
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Telephone | 702-445-7611
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Fax | 702-445-7918
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Authorized Official
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Title or Position | OWNER
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Name | MS. AUDREY ADELE SHELLEY
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Credential |
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Telephone | 702-776-1132
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 | NV
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