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General NPI Number Information
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NPI Number | 1184306201
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Entity Type | Individual
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Provider Name | RACHEL PAIGE HALL-ULIBARRI NP
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Gender | Female
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Dates
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Enumeration Date | 08/07/2023
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Last Update Date | 08/07/2023
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Provider Practice Location Address
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Address Line | 3196 S MARYLAND PKWY STE 303
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City | LAS VEGAS
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State | NV
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Zip | 89109-2314
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Country | US
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Telephone | 702-944-2888
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Fax |
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Provider Business Mailing Address
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Address Line | 10842 MOOSEHEAD BAY CT
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City | LAS VEGAS
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State | NV
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Zip | 89179-1459
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Country | US
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Telephone | 702-580-5204
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 870146
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License Number State | NV
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