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General NPI Number Information
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NPI Number | 1831754050
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Entity Type | Individual
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Provider Name | NATHAN A. HARRIS PSYD
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Gender | Male
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Dates
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Enumeration Date | 05/02/2019
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Last Update Date | 12/05/2024
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Provider Practice Location Address
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Address Line | 2020 WELLNESS WAY STE 300
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City | LAS VEGAS
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State | NV
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Zip | 89106-4145
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Country | US
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Telephone | 702-432-2233
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Fax | 702-800-5456
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Provider Business Mailing Address
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Address Line | 1930 VILLAGE CENTER CIR STE 3-717
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City | LAS VEGAS
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State | NV
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Zip | 89134-6299
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Country | US
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Telephone | 702-432-2233
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Fax | 702-800-5456
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 5009
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number | PY1210
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License Number State | NV
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Taxonomy #3
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Taxonomy Code | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number | PSY-005009
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License Number State | AZ
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