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NPI 1477233328

NPI 1477233328 : ARIANA EDMOND : LAS VEGAS, NV

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General NPI Number Information
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    NPI Number           |    1477233328
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    Entity Type          |    Individual 
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    Provider Name        |    ARIANA EDMOND
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    07/24/2023
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    Last Update Date     |    10/26/2023
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Provider Practice Location Address
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    Address Line         |    7375 PRAIRIE FALCON RD STE 160 
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    City                 |    LAS VEGAS
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    State                |    NV
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    Zip                  |    89128-0818
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    Country              |    US
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    Telephone            |    725-221-6993
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    Fax                  |    702-476-1929
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Provider Business Mailing Address
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    Address Line         |    7375 PRAIRIE FALCON RD STE 160 
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    City                 |    LAS VEGAS
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    State                |    NV
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    Zip                  |    89128-0818
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    Country              |    US
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    Telephone            |    725-221-6993
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    Fax                  |    702-476-1929
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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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