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General NPI Number Information
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NPI Number | 1275126708
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Entity Type | Individual
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Provider Name | MICHELLE RHNEA STEVENS
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Gender | Female
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Dates
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Enumeration Date | 02/16/2021
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Last Update Date | 02/16/2021
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Provider Practice Location Address
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Address Line | 1536 N BOULDER HWY
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City | HENDERSON
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State | NV
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Zip | 89011-4120
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Country | US
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Telephone | 702-558-8600
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Fax |
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Provider Business Mailing Address
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Address Line | 3075 PASEO MOUNTAIN AVE
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City | HENDERSON
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State | NV
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Zip | 89052-3040
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Country | US
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Telephone | 480-203-6429
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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 | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | 836012
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License Number State | NV
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