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General NPI Number Information
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NPI Number | 1487545422
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Entity Type | Individual
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Provider Name | MOURIS W YOUANAS
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Gender | Male
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Dates
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Enumeration Date | 07/09/2025
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Last Update Date | 07/09/2025
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Provider Practice Location Address
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Address Line | 871 CORONADO CENTER DR STE 200
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City | HENDERSON
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State | NV
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Zip | 89052-3977
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Country | US
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Telephone | 855-832-6727
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Fax | 772-675-6727
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Provider Business Mailing Address
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Address Line | 650 WHITNEY RANCH DR APT 1025
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City | HENDERSON
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State | NV
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Zip | 89014-2614
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Country | US
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Telephone | 725-304-4326
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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 | 106E00000X
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Taxonomy Name | Assistant Behavior Analyst
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License Number |
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License Number State |
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