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General NPI Number Information
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NPI Number | 1558851774
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Entity Type | Individual
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Provider Name | TINA MERCED LCSW
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Gender | Female
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Dates
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Enumeration Date | 05/14/2018
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Last Update Date | 10/31/2024
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Provider Practice Location Address
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Address Line | 6550 S PECOS RD STE 119
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City | LAS VEGAS
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State | NV
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Zip | 89120-2829
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Country | US
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Telephone | 312-999-8462
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Fax | 702-342-0936
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Provider Business Mailing Address
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Address Line | 2354 BELVEDERE DR
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City | HENDERSON
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State | NV
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Zip | 89014-3657
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Country | US
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Telephone | 702-497-5308
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Fax | 702-342-0936
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 8895-C
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License Number State | NV
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