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General NPI Number Information
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NPI Number | 1538741970
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Entity Type | Organization
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Legal Business Name | SILVER STATE PSYCHOLOGY
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Dates
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Enumeration Date | 04/26/2021
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Last Update Date | 04/26/2021
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Provider Practice Location Address
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Address Line | 7341 W CHARLESTON BLVD STE 150
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City | LAS VEGAS
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State | NV
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Zip | 89117-1578
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Country | US
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Telephone | 702-268-8542
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Fax |
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Provider Business Mailing Address
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Address Line | 7341 W CHARLESTON BLVD STE 150
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City | LAS VEGAS
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State | NV
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Zip | 89117-1578
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | LICENSED PSYCHOLOGIST
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Name | DR. ANTRICE HRONEK
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Credential | PSY.D.
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Telephone | 702-268-8542
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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 |
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License Number State |
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