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General NPI Number Information
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NPI Number | 1043298847
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Entity Type | Individual
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Provider Name | MIRIAM B EEN R.D.
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Gender | Female
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Dates
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Enumeration Date | 01/03/2006
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Last Update Date | 05/21/2020
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Provider Practice Location Address
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Address Line | 1524 PINTO LN FL 2
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City | LAS VEGAS
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State | NV
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Zip | 89106-4195
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Country | US
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Telephone | 702-992-6888
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Fax | 702-992-6880
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Provider Business Mailing Address
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Address Line | 2410 FIRE MESA ST #180, FAMILY PRACTICE CENTER
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City | LAS VEGAS
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State | NV
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Zip | 89128-9016
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Country | US
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Telephone | 702-992-6888
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Fax | 702-992-6880
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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 | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | 16273
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License Number State | NV
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