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General NPI Number Information
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NPI Number | 1164761334
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Entity Type | Individual
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Provider Name | JENNIFER MARIE SPINATO APRN
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Gender | Female
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Dates
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Enumeration Date | 02/07/2013
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Last Update Date | 03/03/2025
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Provider Practice Location Address
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Address Line | 6135 HARRISON DR STE 3A
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City | LAS VEGAS
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State | NV
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Zip | 89120-4076
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Country | US
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Telephone | 702-482-8656
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Fax | 702-441-0881
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Provider Business Mailing Address
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Address Line | 1081 S CIMARRON RD
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City | LAS VEGAS
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State | NV
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Zip | 89145-2425
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Country | US
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Telephone | 702-749-8885
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Fax | 702-749-6393
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | F306302-1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 0072
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License Number State | NV
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