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General NPI Number Information
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NPI Number | 1912870973
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Entity Type | Individual
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Provider Name | AKIRE CONWAY
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Gender | Female
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Dates
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Enumeration Date | 09/25/2025
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Last Update Date | 09/25/2025
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Provider Practice Location Address
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Address Line | 1707 VILLAGE CENTER CIR STE 140
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City | LAS VEGAS
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State | NV
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Zip | 89134-0577
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Country | US
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Telephone | 702-766-9840
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Fax |
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Provider Business Mailing Address
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Address Line | 5712 MAMMOTH MOUNTAIN ST
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City | NORTH LAS VEGAS
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State | NV
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Zip | 89081-2420
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Country | US
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Telephone |
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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 | RBT-25-468066
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License Number State | NV
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