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General NPI Number Information
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NPI Number | 1831431592
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Entity Type | Individual
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Provider Name | TAMARA L HARRIS LCPC
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Gender | Female
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Dates
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Enumeration Date | 03/20/2013
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Last Update Date | 02/06/2019
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Provider Practice Location Address
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Address Line | 1021 MOCHA MATTARI ST
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City | HENDERSON
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State | NV
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Zip | 89052
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Country | US
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Telephone | 702-274-1958
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Fax |
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Provider Business Mailing Address
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Address Line | 4045 VILLEROY AVE
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City | LAS VEGAS
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State | NV
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Zip | 89141-3446
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Country | US
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Telephone | 702-274-1958
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Fax |
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | CP1158
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License Number State | NV
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