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General NPI Number Information
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NPI Number | 1013637727
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Entity Type | Individual
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Provider Name | LINDA ELIZABETH REINA APRN
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Gender | Female
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Dates
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Enumeration Date | 09/01/2022
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Last Update Date | 09/01/2022
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Provider Practice Location Address
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Address Line | 2801 N TENAYA WAY STE C
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City | LAS VEGAS
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State | NV
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Zip | 89128-1400
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Country | US
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Telephone | 702-472-8136
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Fax |
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Provider Business Mailing Address
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Address Line | 7873 BRIDGEFIELD LN
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City | LAS VEGAS
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State | NV
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Zip | 89147-5099
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Country | US
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Telephone | 702-639-7583
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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 | TEMP858780
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License Number State | NV
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