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General NPI Number Information
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NPI Number | 1740653690
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Entity Type | Organization
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Legal Business Name | ALLIED PSYCHOLOGICAL SERVICES LLC
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Dates
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Enumeration Date | 11/01/2015
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Last Update Date | 10/01/2018
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Provider Practice Location Address
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Address Line | 4270 S. DECATUR BLVD. SUITE A-10A
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City | LAS VEGAS
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State | NV
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Zip | 89103
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Country | US
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Telephone | 702-912-5559
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Fax | 702-912-5536
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Provider Business Mailing Address
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Address Line | 4270 S. DECATUR BLVD. SUITE A-10A
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City | LAS VEGAS
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State | NV
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Zip | 89103
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Country | US
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Telephone | 702-912-5559
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Fax | 702-912-5536
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Authorized Official
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Title or Position | LICENSED CLINICAL PSYCHOLOGIST
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Name | DR. BRIAN D. NORENSBERG
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Credential | DR.
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Telephone | 702-912-5559
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | PY0760
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License Number State | NV
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