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General NPI Number Information
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NPI Number | 1053136937
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Entity Type | Individual
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Provider Name | JANETHE MOLINA DE PENA APRN,FNP-C
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Gender | Female
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Dates
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Enumeration Date | 11/18/2024
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Last Update Date | 02/12/2026
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Provider Practice Location Address
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Address Line | 4469 W CHARLESTON BLVD
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City | LAS VEGAS
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State | NV
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Zip | 89102-1605
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Country | US
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Telephone | 702-637-4239
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Fax | 877-569-2931
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Provider Business Mailing Address
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Address Line | 6101 BLUE LAGOON DR STE 200
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City | MIAMI
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State | FL
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Zip | 33126-3168
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Country | US
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Telephone | 702-561-0590
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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 | 71797
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License Number State | NM
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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 | 866643
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License Number State | NV
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