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General NPI Number Information
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NPI Number | 1962961383
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Entity Type | Organization
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Legal Business Name | AID FOR AIDS OF NEVADA
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Dates
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Enumeration Date | 03/15/2019
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Last Update Date | 03/15/2019
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Provider Practice Location Address
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Address Line | 1830 E SAHARA AVE STE 210
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City | LAS VEGAS
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State | NV
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Zip | 89104-3739
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Country | US
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Telephone | 702-382-2326
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Fax | 702-366-1609
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Provider Business Mailing Address
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Address Line | 1830 E SAHARA AVE STE 210
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City | LAS VEGAS
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State | NV
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Zip | 89104-3739
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Country | US
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Telephone | 702-382-2326
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Fax | 702-366-1609
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Authorized Official
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Title or Position | CLINICAL SUPERVISOR
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Name | CARLY SHADID
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Credential | MFT
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Telephone | 702-383-8095
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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