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General NPI Number Information
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NPI Number | 1013339886
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Entity Type | Individual
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Provider Name | EMMANUEL S EKWERE CRNP
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Gender | Male
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Dates
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Enumeration Date | 01/14/2014
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Last Update Date | 01/09/2026
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Provider Practice Location Address
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Address Line | 3550 W SAHARA AVE
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City | LAS VEGAS
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State | NV
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Zip | 89102-5867
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Country | US
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Telephone | 702-873-7171
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Fax |
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Provider Business Mailing Address
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Address Line | 3758 LAS VEGAS BLVD S
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City | LAS VEGAS
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State | NV
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Zip | 89109-4132
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Country | US
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Telephone | 302-252-1519
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 830196
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | SP013565
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License Number State | PA
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