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General NPI Number Information
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NPI Number | 1528962321
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Entity Type | Individual
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Provider Name | MR. SPENCER NICHOLAS MCCARTHY
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Gender | Male
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Dates
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Enumeration Date | 10/05/2026
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Last Update Date | 10/05/2026
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Provider Practice Location Address
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Address Line | 601 S RANCHO DR STE A10
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City | LAS VEGAS
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State | NV
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Zip | 89106-4898
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Country | US
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Telephone | 702-437-4673
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Fax |
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Provider Business Mailing Address
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Address Line | 1901 VILLA PALMS CT UNIT 204
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City | LAS VEGAS
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State | NV
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Zip | 89128-2787
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Country | US
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Telephone | 702-219-1789
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State | NV
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