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General NPI Number Information
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NPI Number | 1114618352
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Entity Type | Individual
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Provider Name | DAVID P BRAY CPC-I
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Gender | Male
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Dates
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Enumeration Date | 05/18/2023
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Last Update Date | 11/14/2023
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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 | 1489 W WARM SPRINGS RD STE 110
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City | HENDERSON
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State | NV
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Zip | 89014-7367
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Country | US
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Telephone | 702-610-9932
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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