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General NPI Number Information
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NPI Number | 1104279249
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Entity Type | Individual
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Provider Name | MARCIA CASTRO-ROSENBERG APRN
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Gender | Female
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Dates
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Enumeration Date | 07/13/2016
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Last Update Date | 07/13/2016
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Provider Practice Location Address
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Address Line | 7906 W SAHARA AVE
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City | LAS VEGAS
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State | NV
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Zip | 89117-1990
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Country | US
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Telephone | 702-406-0849
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Fax |
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Provider Business Mailing Address
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Address Line | 2529 DAYSPRING ST
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City | LAS VEGAS
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State | NV
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Zip | 89128-7819
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Country | US
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Telephone | 702-449-1010
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | APRN002265
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License Number State | NV
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