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NPI 1174983001

NPI 1174983001 : KARI DELLA-ROCCO : LAS VEGAS, NV

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General NPI Number Information
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    NPI Number           |    1174983001
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    Entity Type          |    Individual 
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    Provider Name        |    KARI DELLA-ROCCO
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    03/04/2016
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    Last Update Date     |    03/04/2016
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Provider Practice Location Address
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    Address Line         |    5071 N RAINBOW BLVD SUITE 170
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    City                 |    LAS VEGAS
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    State                |    NV
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    Zip                  |    89130-1606
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    Country              |    US
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    Telephone            |    702-373-1651
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    Fax                  |    702-396-7119
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Provider Business Mailing Address
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    Address Line         |    6500 W CHARLESTON BLVD APT 113
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    City                 |    LAS VEGAS
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    State                |    NV
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    Zip                  |    89146-9054
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    Country              |    US
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    Telephone            |    415-900-6027
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    Fax                  |    702-396-7119
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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        |    103K00000X
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    Taxonomy Name        |    Behavior Analyst
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    License Number       |    
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    License Number State |    
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