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General NPI Number Information
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NPI Number | 1538675376
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Entity Type | Individual
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Provider Name | CHERYL MARIE HAJRI CADC-INTERN
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Gender | Female
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Dates
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Enumeration Date | 12/15/2017
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Last Update Date | 12/15/2017
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Provider Practice Location Address
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Address Line | 4520 S PECOS RD STE 3
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City | LAS VEGAS
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State | NV
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Zip | 89121-5937
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Country | US
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Telephone | 702-685-9220
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Fax | 702-685-2661
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Provider Business Mailing Address
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Address Line | 10175 SPRING MOUNTAIN RD UNIT 1035
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City | LAS VEGAS
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State | NV
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Zip | 89117-8467
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Country | US
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Telephone | 325-280-6305
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 33851
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License Number State | TX
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