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General NPI Number Information
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NPI Number | 1235996091
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Entity Type | Individual
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Provider Name | ANDREW LOPEZ
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Gender | Male
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Dates
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Enumeration Date | 02/28/2024
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Last Update Date | 06/06/2025
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Provider Practice Location Address
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Address Line | 7061 W ARBY AVE STE 170
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City | LAS VEGAS
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State | NV
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Zip | 89113-4464
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Country | US
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Telephone | 702-485-5515
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Fax |
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Provider Business Mailing Address
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Address Line | 7656 CHAUMONT ST
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City | LAS VEGAS
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State | NV
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Zip | 89123-1491
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Country | US
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Telephone | 725-724-7307
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Fax |
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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 | NV
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Taxonomy #2
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Taxonomy Code | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State | NV
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