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General NPI Number Information
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NPI Number | 1063059640
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Entity Type | Individual
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Provider Name | HALEY ALANE BISHOFF RD
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Gender | Female
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Dates
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Enumeration Date | 12/03/2019
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Last Update Date | 08/02/2023
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Provider Practice Location Address
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Address Line | 7251 W LAKE MEAD BLVD STE 300
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City | LAS VEGAS
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State | NV
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Zip | 89128-8380
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Country | US
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Telephone | 725-296-3810
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Fax | 866-704-3616
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Provider Business Mailing Address
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Address Line | 7251 W LAKE MEAD BLVD STE 300
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City | LAS VEGAS
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State | NV
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Zip | 89128-8380
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Country | US
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Telephone | 725-296-3810
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Fax | 866-704-3616
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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 | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | 86156509
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License Number State | NV
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