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General NPI Number Information
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NPI Number | 1326345836
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Entity Type | Individual
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Provider Name | NINA HARBALIEVA
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Gender | Female
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Dates
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Enumeration Date | 02/17/2011
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Last Update Date | 09/13/2015
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Provider Practice Location Address
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Address Line | 5836 S PECOS RD SUITE D
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City | LAS VEGAS
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State | NV
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Zip | 89120-3418
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Country | US
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Telephone | 702-501-8569
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Fax | 702-501-8569
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Provider Business Mailing Address
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Address Line | 7828 ODYSSEUS AVE
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City | LAS VEGAS
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State | NV
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Zip | 89131-3503
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Country | US
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Telephone | 702-501-8569
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Fax | 702-501-8569
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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 | 225400000X
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Taxonomy Name | Rehabilitation Practitioner
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License Number |
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License Number State |
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