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General NPI Number Information
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NPI Number | 1700380391
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Entity Type | Individual
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Provider Name | ALANA MOORE-SMITH
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Gender | Female
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Dates
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Enumeration Date | 03/20/2018
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Last Update Date | 03/20/2018
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Provider Practice Location Address
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Address Line | 2980 S RAINBOW BLVD STE 210G
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City | LAS VEGAS
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State | NV
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Zip | 89146-6531
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Country | US
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Telephone | 702-673-7462
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Fax | 702-442-8900
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Provider Business Mailing Address
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Address Line | 5880 BOULDER FALLS ST APT 1047
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City | HENDERSON
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State | NV
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Zip | 89011-4954
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Country | US
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Telephone | 213-210-6074
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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 | 225400000X
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Taxonomy Name | Rehabilitation Practitioner
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License Number |
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License Number State |
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