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General NPI Number Information
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NPI Number | 1699510164
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Entity Type | Individual
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Provider Name | ISABEL GARCIA
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Gender | Female
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Dates
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Enumeration Date | 06/27/2024
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Last Update Date | 06/27/2024
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Provider Practice Location Address
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Address Line | 2715 E RUSSELL RD
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City | LAS VEGAS
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State | NV
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Zip | 89120-2426
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Country | US
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Telephone | 725-238-4115
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Fax |
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Provider Business Mailing Address
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Address Line | 7564 FAIRLAND CT
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City | LAS VEGAS
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State | NV
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Zip | 89113-1106
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Country | US
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Telephone | 702-576-8308
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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 | RBT-24-357317
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License Number State | NV
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