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General NPI Number Information
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NPI Number | 1508239567
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Entity Type | Individual
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Provider Name | MICHELLE LYONS
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Gender | Female
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Dates
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Enumeration Date | 11/12/2015
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Last Update Date | 04/07/2022
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Provider Practice Location Address
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Address Line | 8068 LANGFIELD FALLS ST
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City | NORTH LAS VEGAS
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State | NV
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Zip | 89085-4426
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Country | US
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Telephone | 702-287-1711
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Fax |
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Provider Business Mailing Address
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Address Line | 6440 SKY POINTE DR STE 140-412
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City | LAS VEGAS
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State | NV
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Zip | 89131-4047
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Country | US
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Telephone | 702-287-1711
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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