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General NPI Number Information
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NPI Number | 1679424998
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Entity Type | Individual
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Provider Name | ALYSSA CONYERS
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Gender | Female
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Dates
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Enumeration Date | 02/04/2026
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Last Update Date | 02/04/2026
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Provider Practice Location Address
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Address Line | 11906 ARBOR ST
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City | OMAHA
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State | NE
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Zip | 68144-2900
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Country | US
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Telephone | 405-825-0799
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Fax |
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Provider Business Mailing Address
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Address Line | 621 N 38TH ST
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City | COUNCIL BLUFFS
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State | IA
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Zip | 51501-1710
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Country | US
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Telephone | 712-314-8608
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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