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General NPI Number Information
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NPI Number | 1134373285
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Entity Type | Organization
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Legal Business Name | ESTHERLOIDA P LUPERTE MD PLLC
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Dates
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Enumeration Date | 11/14/2008
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Last Update Date | 06/09/2010
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Provider Practice Location Address
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Address Line | 8280 W WARM SPRINGS RD
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City | LAS VEGAS
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State | NV
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Zip | 89113-3612
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Country | US
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Telephone | 702-921-6829
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Fax | 702-921-6828
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Provider Business Mailing Address
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Address Line | 8550 W DESERT INN RD SUITE 102-134
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City | LAS VEGAS
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State | NV
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Zip | 89117-4401
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Country | US
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Telephone | 702-921-6829
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Fax | 702-921-6828
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Authorized Official
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Title or Position | SOLE MEMBER
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Name | ESTHERLOIDA P LUPERTE
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Credential | MD
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Telephone | 702-464-8905
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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 | 9731
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License Number State | NV
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