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General NPI Number Information
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NPI Number | 1205652518
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Entity Type | Individual
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Provider Name | ALEXANDRIA N BRAGG RN
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Gender | Female
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Dates
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Enumeration Date | 12/02/2024
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Last Update Date | 12/02/2024
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Provider Practice Location Address
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Address Line | 5400 S RAINBOW BLVD
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City | LAS VEGAS
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State | NV
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Zip | 89118-1859
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Country | US
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Telephone | 702-853-0000
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Fax |
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Provider Business Mailing Address
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Address Line | 6655 OCTAVE AVE
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City | LAS VEGAS
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State | NV
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Zip | 89139-6749
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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 | 163WM0705X
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Taxonomy Name | Medical-Surgical Registered Nurse
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License Number | 831891
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License Number State | NV
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