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General NPI Number Information
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NPI Number | 1114262003
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Entity Type | Organization
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Legal Business Name | KRISTI A ASANTE MD PC
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Dates
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Enumeration Date | 12/03/2012
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Last Update Date | 05/31/2021
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Provider Practice Location Address
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Address Line | 10300 W CHARLESTON BLVD # 13-250
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City | LAS VEGAS
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State | NV
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Zip | 89135-1037
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Country | US
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Telephone | 702-825-7374
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Fax |
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Provider Business Mailing Address
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Address Line | 5835 EGAN CREST DR
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City | LAS VEGAS
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State | NV
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Zip | 89149-1225
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Country | US
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Telephone | 702-806-6768
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | KRISTIE A ASANTE
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Credential | MD
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Telephone | 702-806-6768
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 10271
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License Number State | NV
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