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General NPI Number Information
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NPI Number | 1023401999
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Entity Type | Individual
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Provider Name | MARIE ANN LUBACK-NEVES DNP, MBA, APRN, FNP-
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Gender | Female
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Dates
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Enumeration Date | 03/16/2015
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Last Update Date | 06/25/2022
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Provider Practice Location Address
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Address Line | 110 COUNTRY ESTATES CIR STE 1
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City | RENO
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State | NV
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Zip | 89511-4016
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Country | US
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Telephone | 775-339-3056
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Fax |
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Provider Business Mailing Address
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Address Line | 3243 GYPSUM RD
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City | RENO
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State | NV
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Zip | 89503-1202
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Country | US
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Telephone | 775-339-3056
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Fax | 888-494-1158
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN20727
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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 | 823273
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License Number State | NV
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 823273
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License Number State | NV
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