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General NPI Number Information
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NPI Number | 1275423055
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Entity Type | Individual
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Provider Name | KRISTINE PERALTA APRN
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Gender | Female
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Dates
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Enumeration Date | 07/03/2025
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Last Update Date | 07/17/2025
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Provider Practice Location Address
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Address Line | 6827 W TROPICANA AVE STE 110
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City | LAS VEGAS
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State | NV
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Zip | 89103-4920
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Country | US
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Telephone | 702-508-9128
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 749495
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City | ATLANTA
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State | GA
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Zip | 30374-9495
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Country | US
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Telephone | 855-963-2100
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Fax | 813-321-1296
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 891482
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 891482
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License Number State | NV
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