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General NPI Number Information
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NPI Number | 1992593891
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Entity Type | Organization
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Legal Business Name | UNITED CITIZENS FOUNDATION INC
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Dates
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Enumeration Date | 04/29/2025
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Last Update Date | 04/29/2025
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Provider Practice Location Address
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Address Line | 2048 N LAS VEGAS BLVD
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City | NORTH LAS VEGAS
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State | NV
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Zip | 89030-5802
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Country | US
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Telephone | 702-485-1259
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Fax | 702-722-2891
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Provider Business Mailing Address
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Address Line | 4485 S BUFFALO DR
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City | LAS VEGAS
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State | NV
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Zip | 89147-5006
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Country | US
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Telephone | 702-772-2440
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | ASHOK MIRCHANDANI
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Credential |
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Telephone | 702-280-7203
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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 |
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