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General NPI Number Information
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NPI Number | 1245984673
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Entity Type | Individual
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Provider Name | MRS. SAMANTHA HEATHER PRZYBYLSKI
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Gender | Female
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Dates
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Enumeration Date | 02/04/2022
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Last Update Date | 12/08/2022
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Provider Practice Location Address
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Address Line | 2080 E FLAMINGO RD
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City | LAS VEGAS
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State | NV
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Zip | 89119-5164
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Country | US
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Telephone | 702-330-0345
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Fax |
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Provider Business Mailing Address
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Address Line | 3036 QUIET CREEK AVE
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City | HENDERSON
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State | NV
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Zip | 89044-1604
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Country | US
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Telephone | 847-450-3994
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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 | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | 843001
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 363LX0106X
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Taxonomy Name | Occupational Health Nurse Practitioner
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License Number | 843001
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License Number State | NV
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