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General NPI Number Information
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NPI Number | 1992389530
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Entity Type | Organization
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Legal Business Name | AADEE H. MIZRACHI, PLLC
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Dates
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Enumeration Date | 05/10/2021
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Last Update Date | 03/08/2023
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Provider Practice Location Address
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Address Line | 9550 S EASTERN AVE STE 220
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City | LAS VEGAS
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State | NV
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Zip | 89123-8045
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Country | US
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Telephone | 725-605-4310
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Fax | 725-605-4316
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Provider Business Mailing Address
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Address Line | 9550 S EASTERN AVE STE 220
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City | LAS VEGAS
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State | NV
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Zip | 89123-8045
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Country | US
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Telephone | 725-605-4310
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Fax | 725-605-4316
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Authorized Official
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Title or Position | OWNER/LICENSED PSYCHOLOGIST
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Name | DR. AADEE MIZRACHI
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Credential | PHD
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Telephone | 702-372-6910
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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