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Individual
CORY VANDERHILL
Active
Individual
CORY VANDERHILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
Primary
—
—
172V00000X
Community Health Worker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000143106
—
NV
01
—
1500151870
HEALTH PLAN OF NEVADA
NV
Enumeration date
03/17/2017
Last updated
03/17/2017
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