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General NPI Number Information
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NPI Number | 1174917058
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Entity Type | Individual
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Provider Name | DEBORAH BERNAL PEREZ
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Gender | Female
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Dates
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Enumeration Date | 03/27/2015
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Last Update Date | 02/10/2026
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Provider Practice Location Address
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Address Line | 2950 E FLAMINGO RD STE H
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City | LAS VEGAS
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State | NV
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Zip | 89121-5208
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Country | US
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Telephone | 702-251-3854
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Fax |
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Provider Business Mailing Address
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Address Line | 1912 MAGNOLIA DR
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City | HENDERSON
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State | NV
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Zip | 89014-5192
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Country | US
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Telephone |
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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 | 238215
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License Number State | CT
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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 | 898321
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License Number State | NV
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