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General NPI Number Information
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NPI Number | 1770417552
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Entity Type | Organization
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Legal Business Name | ACCESS NEVADA THERAPY
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Dates
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Enumeration Date | 06/09/2026
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Last Update Date | 06/10/2026
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Provider Practice Location Address
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Address Line | 305 N PECOS RD STE E
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City | HENDERSON
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State | NV
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Zip | 89074-1352
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Country | US
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Telephone | 702-463-1665
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Fax | 702-463-1665
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Provider Business Mailing Address
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Address Line | 305 N PECOS RD STE E
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City | HENDERSON
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State | NV
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Zip | 89074-1352
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Country | US
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Telephone | 702-463-1665
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Fax | 702-463-1665
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Authorized Official
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Title or Position | BILLER
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Name | SERENA FORD
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Credential |
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Telephone | 702-463-1665
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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