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General NPI Number Information
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NPI Number | 1164412086
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Entity Type | Individual
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Provider Name | JANICE SPENCE WILMOT APRN
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Gender | Female
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Dates
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Enumeration Date | 10/22/2005
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Last Update Date | 05/30/2016
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Provider Practice Location Address
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Address Line | 6529 FORZA CT
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City | LAS VEGAS
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State | NV
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Zip | 89131-3150
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Country | US
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Telephone | 702-658-4250
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Fax |
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Provider Business Mailing Address
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Address Line | 6529 FORZA CT
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City | LAS VEGAS
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State | NV
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Zip | 89131-3150
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Country | US
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Telephone | 702-658-4250
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 24423
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License Number State | AK
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 1-029211
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License Number State | AL
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Taxonomy #3
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN60377
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License Number State | NV
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Taxonomy #4
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Taxonomy Code | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | 836
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License Number State | AK
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Taxonomy #5
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Taxonomy Code | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | 1-029211
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License Number State | AL
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Taxonomy #6
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Taxonomy Code | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | TAPN700482
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License Number State | NV
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Taxonomy #7
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | APN001099
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License Number State | NV
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