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General NPI Number Information
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NPI Number | 1063345734
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Entity Type | Organization
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Legal Business Name | NEVADA THERAPY COLLECTIVE LLC
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Dates
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Enumeration Date | 06/04/2026
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Last Update Date | 06/04/2026
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Provider Practice Location Address
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Address Line | 201 MISSION LAGUNA LN APT 203
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City | LAS VEGAS
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State | NV
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Zip | 89107-2772
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Country | US
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Telephone | 702-530-2554
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Fax |
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Provider Business Mailing Address
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Address Line | 5475 YUKON DR
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City | SUN VALLEY
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State | NV
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Zip | 89433-7842
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | SPEECH LANGUAGE PATHOLOGIST
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Name | LIZETT MONTES-LOPEZ
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Credential | CCC-SLP
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Telephone | 775-683-0978
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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