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General NPI Number Information
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NPI Number | 1528347002
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Entity Type | Individual
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Provider Name | LOUIE NOVELO CELLONA
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Gender | Male
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Dates
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Enumeration Date | 08/15/2011
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Last Update Date | 08/15/2011
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Provider Practice Location Address
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Address Line | 3450 W CHEYENNE AVE STE 500
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City | N LAS VEGAS
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State | NV
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Zip | 89032-8225
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Country | US
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Telephone | 702-631-0324
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Fax |
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Provider Business Mailing Address
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Address Line | 5450 S FORT APACHE RD APT 149
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City | LAS VEGAS
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State | NV
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Zip | 89148-4690
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Country | US
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Telephone | 702-467-0284
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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 | 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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