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General NPI Number Information
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NPI Number | 1518839091
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Entity Type | Individual
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Provider Name | AZRIEL BROWN
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Gender | Female
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Dates
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Enumeration Date | 09/23/2025
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Last Update Date | 09/23/2025
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Provider Practice Location Address
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Address Line | 630 S RANCHO DR STE A
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City | LAS VEGAS
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State | NV
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Zip | 89106-4849
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Country | US
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Telephone | 702-998-9505
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Fax |
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Provider Business Mailing Address
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Address Line | 3001 W WARM SPRINGS RD APT 1118
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City | HENDERSON
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State | NV
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Zip | 89014-4578
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Country | US
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Telephone | 209-403-9573
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 11172-M
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License Number State | NV
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