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NPI 1588453591

NPI 1588453591 : BY-LANDA ZARAGOZA : NORTH LAS VEGAS, NV

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General NPI Number Information
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    NPI Number           |    1588453591
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    Entity Type          |    Individual 
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    Provider Name        |    BY-LANDA ZARAGOZA
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    05/05/2025
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    Last Update Date     |    05/05/2025
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Provider Practice Location Address
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    Address Line         |    5135 CAMINO AL NORTE STE 230 
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    City                 |    NORTH LAS VEGAS
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    State                |    NV
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    Zip                  |    89031-2391
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    Country              |    US
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    Telephone            |    702-853-6727
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    3969 KAREN AVE 
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    City                 |    LAS VEGAS
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    State                |    NV
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    Zip                  |    89121-1743
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    Country              |    US
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    Telephone            |    702-583-0453
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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       |    MI4502
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    License Number State |    NV
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