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General NPI Number Information
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NPI Number | 1538513569
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Entity Type | Organization
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Legal Business Name | JOSH D DWIRE PSYD PLLC
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Dates
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Enumeration Date | 04/15/2016
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Last Update Date | 03/16/2022
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Provider Practice Location Address
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Address Line | 720 W CHEYENNE AVE STE 50
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City | NORTH LAS VEGAS
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State | NV
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Zip | 89030-7807
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Country | US
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Telephone | 702-831-0788
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Fax | 702-463-9087
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Provider Business Mailing Address
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Address Line | 5546 CAMINO AL NORTE STE 2-298
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City | NORTH LAS VEGAS
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State | NV
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Zip | 89031-0805
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Country | US
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Telephone | 702-831-0788
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Fax | 702-463-9087
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Authorized Official
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Title or Position | LICENSED PSYCHOLOGIST
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Name | DR. JOSHUA D DWIRE
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Credential | PSYD
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Telephone | 702-831-0788
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 0737
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License Number State | NV
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