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General NPI Number Information
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NPI Number | 1588966972
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Entity Type | Organization
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Legal Business Name | ADVANCED PSYCHOLOGICAL CARE, INC.
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Dates
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Enumeration Date | 11/17/2010
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Last Update Date | 09/19/2013
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Provider Practice Location Address
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Address Line | 2410 W HORIZON RIDGE PKWY SUITE 100
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City | HENDERSON
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State | NV
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Zip | 89052-2734
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Country | US
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Telephone | 702-508-9181
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Fax | 702-508-9181
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Provider Business Mailing Address
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Address Line | 2410 W HORIZON RIDGE PKWY SUITE 100
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City | HENDERSON
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State | NV
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Zip | 89052-2734
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Country | US
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Telephone | 702-508-9181
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Fax | 702-508-9181
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Authorized Official
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Title or Position | PRESIDENT/PSYCHOLOGIST
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Name | DR. NICOLE JOSEPHINE WILLIAMS
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Credential | PH.D.
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Telephone | 702-349-4398
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PY0572
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License Number State | NV
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