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General NPI Number Information
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NPI Number | 1154136216
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Entity Type | Individual
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Provider Name | SHALOM ARELLANO MAURICIO RN
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Gender | Female
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Dates
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Enumeration Date | 02/07/2025
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Last Update Date | 03/25/2025
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Provider Practice Location Address
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Address Line | 480 GALLETTI WAY UNIT 5
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City | SPARKS
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State | NV
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Zip | 89431-5560
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Country | US
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Telephone | 775-688-2001
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Fax | 775-688-0506
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Provider Business Mailing Address
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Address Line | 480 GALLETTI WAY UNIT 5
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City | SPARKS
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State | NV
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Zip | 89431-5560
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Country | US
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Telephone | 775-688-2077
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Fax | 775-688-0506
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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 | 163WP0809X
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Taxonomy Name | Adult Psychiatric/Mental Health Registered Nurse
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License Number | 860394
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License Number State | NV
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