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General NPI Number Information
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NPI Number | 1487719167
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Entity Type | Individual
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Provider Name | TAMI NURKIN M.F.T.
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Gender | Female
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Dates
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Enumeration Date | 12/24/2006
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Last Update Date | 01/31/2011
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Provider Practice Location Address
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Address Line | 720 W CHEYENNE AVE STE 200
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City | NORTH LAS VEGAS
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State | NV
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Zip | 89030-7847
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Country | US
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Telephone | 702-459-8264
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Fax | 702-459-8378
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Provider Business Mailing Address
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Address Line | 4004 LIBERTY MEADOW AVE
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City | NORTH LAS VEGAS
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State | NV
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Zip | 89031-0190
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Country | US
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Telephone | 702-496-3813
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Fax | 702-380-3220
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 0970
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License Number State | NV
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