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General NPI Number Information
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NPI Number | 1518838556
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Entity Type | Individual
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Provider Name | ALESSANDRA ELAINE GRANUCCI LMSW
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Gender | Female
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Dates
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Enumeration Date | 09/15/2025
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Last Update Date | 10/01/2025
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Provider Practice Location Address
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Address Line | 8685 S EASTERN AVE
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City | LAS VEGAS
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State | NV
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Zip | 89123-2839
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Country | US
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Telephone | 702-754-0807
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Fax |
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Provider Business Mailing Address
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Address Line | 910 BIG DELTA CT
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City | HENDERSON
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State | NV
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Zip | 89014-0337
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Country | US
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Telephone | 702-754-0807
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 9678-M
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License Number State | NV
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