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General NPI Number Information
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NPI Number | 1538919063
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Entity Type | Individual
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Provider Name | ALLISON MARIE ASCANI CADC
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Gender | Female
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Dates
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Enumeration Date | 03/26/2024
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Last Update Date | 12/19/2024
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Provider Practice Location Address
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Address Line | 7536 MOUNT SPOKANE CT
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City | LAS VEGAS
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State | NV
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Zip | 89113-5376
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Country | US
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Telephone | 702-672-8037
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Fax |
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Provider Business Mailing Address
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Address Line | 9278 PEMBROOK FALLS AVE
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City | LAS VEGAS
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State | NV
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Zip | 89148-4928
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Country | US
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Telephone | 760-636-3038
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 07788-C
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 07883-S
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License Number State | NV
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