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General NPI Number Information
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NPI Number | 1265239065
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Entity Type | Individual
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Provider Name | CANDACE LEANN MADDEN REGISTERED NURSE
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Gender | Female
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Dates
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Enumeration Date | 02/27/2025
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Last Update Date | 02/27/2025
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Provider Practice Location Address
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Address Line | 4730 LEAVITT ST # 1522
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City | LOGANDALE
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State | NV
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Zip | 89021-9987
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Country | US
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Telephone | 702-413-2885
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Fax | 702-789-5519
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Provider Business Mailing Address
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Address Line | PO BOX 1522
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City | LOGANDALE
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State | NV
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Zip | 89021-1522
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Country | US
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Telephone | 702-413-2885
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Fax | 702-789-5519
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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 | RN33486
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License Number State | NV
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