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General NPI Number Information
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NPI Number | 1942600200
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Entity Type | Organization
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Legal Business Name | SAFE SANCTUARIES FOR CHILDREN AND YOUTH
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Dates
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Enumeration Date | 08/23/2014
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Last Update Date | 08/23/2014
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Provider Practice Location Address
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Address Line | 6272 HIGHLAND GARDENS DR
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City | NORTH LAS VEGAS
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State | NV
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Zip | 89031-2074
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Country | US
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Telephone | 702-706-4902
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Fax |
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Provider Business Mailing Address
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Address Line | 5840 W CRAIG RD STE 120-373
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City | LAS VEGAS
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State | NV
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Zip | 89130-2561
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Country | US
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Telephone | 702-706-4902
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | JAMES FRENCH
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Credential |
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Telephone | 702-706-4902
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225400000X
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Taxonomy Name | Rehabilitation Practitioner
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License Number | NV20131576900
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License Number State | NV
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