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General NPI Number Information
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NPI Number | 1205794997
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Entity Type | Individual
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Provider Name | MR. SHAWN MCGARNETT COLLIER JR.
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Gender | Male
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Dates
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Enumeration Date | 01/12/2026
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Last Update Date | 01/12/2026
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Provider Practice Location Address
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Address Line | 5940 S RAINBOW BLVD STE 1014
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City | LAS VEGAS
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State | NV
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Zip | 89118-2540
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Country | US
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Telephone | 702-899-8212
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Fax | 702-901-6088
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Provider Business Mailing Address
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Address Line | 5940 S RAINBOW BLVD STE 1014
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City | LAS VEGAS
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State | NV
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Zip | 89118-2540
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Country | US
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Telephone | 702-899-8212
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Fax | 702-901-6088
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 811316
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License Number State | NV
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