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General NPI Number Information
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NPI Number | 1104650787
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Entity Type | Individual
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Provider Name | JULIANA CATALON APRN
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Gender | Female
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Dates
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Enumeration Date | 08/27/2024
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Last Update Date | 11/11/2024
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Provider Practice Location Address
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Address Line | 601 S RANCHO DR
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City | LAS VEGAS
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State | NV
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Zip | 89106-4899
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Country | US
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Telephone | 725-247-2006
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Fax |
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Provider Business Mailing Address
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Address Line | 10161 PARK RUN DR STE 228
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City | LAS VEGAS
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State | NV
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Zip | 89145-8871
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Country | US
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Telephone | 725-247-2006
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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 | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | 813399
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License Number State | NV
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