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General NPI Number Information
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NPI Number | 1902537400
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Entity Type | Individual
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Provider Name | DANIEL NOBLE ALLEN PH.D.
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Gender | Male
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Dates
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Enumeration Date | 06/23/2022
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Last Update Date | 06/23/2022
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Provider Practice Location Address
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Address Line | 7192 RANCHITO CIR
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City | LAS VEGAS
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State | NV
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Zip | 89120-3035
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Country | US
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Telephone | 702-856-6059
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Fax |
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Provider Business Mailing Address
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Address Line | 4505 S MARYLAND PKWY # MS 5030
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City | LAS VEGAS
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State | NV
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Zip | 89154-9900
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Country | US
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Telephone | 702-895-0121
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PY0593
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License Number State | NV
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