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General NPI Number Information
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NPI Number | 1003290115
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Entity Type | Individual
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Provider Name | RUTH ENCINA
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Gender | Female
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Dates
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Enumeration Date | 07/17/2015
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Last Update Date | 07/17/2015
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Provider Practice Location Address
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Address Line | 913 CRESCENT FALLS ST
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City | HENDERSON
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State | NV
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Zip | 89011-2516
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Country | US
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Telephone | 702-498-1743
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Fax | 702-825-2263
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Provider Business Mailing Address
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Address Line | 3300 E TONOPAH AVE
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City | N LAS VEGAS
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State | NV
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Zip | 89030-7359
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Country | US
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Telephone | 702-782-5521
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Fax | 702-825-2263
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 175T00000X
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Taxonomy Name | Peer Specialist
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License Number |
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License Number State |
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