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General NPI Number Information
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NPI Number | 1194675405
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Entity Type | Individual
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Provider Name | NIURKY MIRALLES
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Gender | Female
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Dates
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Enumeration Date | 01/28/2026
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Last Update Date | 01/28/2026
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Provider Practice Location Address
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Address Line | 9275 W RUSSELL RD STE 205
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City | LAS VEGAS
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State | NV
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Zip | 89148-1476
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Country | US
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Telephone | 702-259-4966
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Fax |
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Provider Business Mailing Address
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Address Line | 8045 PINK DESERT ST
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City | NORTH LAS VEGAS
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State | NV
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Zip | 89085-4451
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | A-0764
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License Number State | NV
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