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General NPI Number Information
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NPI Number | 1457144149
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Entity Type | Individual
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Provider Name | KAREN ALEJANDRA VALLE FRIAS
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Gender | Female
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Dates
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Enumeration Date | 05/26/2025
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Last Update Date | 11/05/2025
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Provider Practice Location Address
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Address Line | CEB 226, 4505 S MARYLAND PKWY BOX #453033
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City | LAS VEGAS
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State | NV
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Zip | 89154
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Country | US
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Telephone | 702-895-1532
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Fax |
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Provider Business Mailing Address
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Address Line | 3496 VICTORY AVE
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City | LAS VEGAS
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State | NV
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Zip | 89121-7219
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Country | US
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Telephone | 702-689-7321
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State | NV
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