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NPI 1407447741

NPI 1407447741 : DANETTE E W AKANA : LAS VEGAS, NV

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General NPI Number Information
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    NPI Number           |    1407447741
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    Entity Type          |    Individual 
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    Provider Name        |    DANETTE E W AKANA
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    01/29/2021
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    Last Update Date     |    03/17/2023
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Provider Practice Location Address
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    Address Line         |    7310 SMOKE RANCH RD SUITE S NULL 
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    City                 |    LAS VEGAS
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    State                |    NV
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    Zip                  |    89128
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    Country              |    US
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    Telephone            |    808-682-5496
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    7310 SMOKE RANCH RD SUITE S NULL 
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    City                 |    LAS VEGAS
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    State                |    NV
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    Zip                  |    89128
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    Country              |    US
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    Telephone            |    702-608-7290
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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        |    106S00000X
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    Taxonomy Name        |    Behavior Technician
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    License Number       |    
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    License Number State |    
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