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General NPI Number Information
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NPI Number | 1306641519
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Entity Type | Individual
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Provider Name | ALLIVIA AGGERS
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Gender | Female
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Dates
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Enumeration Date | 02/13/2025
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Last Update Date | 02/13/2025
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Provider Practice Location Address
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Address Line | 3925 N MARTIN L KING BLVD STE 212
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City | N LAS VEGAS
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State | NV
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Zip | 89032-7676
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Country | US
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Telephone | 702-444-0235
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Fax |
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Provider Business Mailing Address
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Address Line | 10662 DAWNS MIST AVE
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City | LAS VEGAS
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State | NV
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Zip | 89129-5056
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Country | US
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Telephone | 725-214-8771
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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 | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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