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General NPI Number Information
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NPI Number | 1285929000
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Entity Type | Individual
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Provider Name | MAYRA PEREZ SALDANA
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Gender | Female
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Dates
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Enumeration Date | 06/09/2011
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Last Update Date | 06/09/2011
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Provider Practice Location Address
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Address Line | 3674 N RANCHO DR
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City | LAS VEGAS
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State | NV
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Zip | 89130-3110
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Country | US
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Telephone | 702-465-8290
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Fax |
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Provider Business Mailing Address
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Address Line | 54 N SANDHILL RD
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City | LAS VEGAS
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State | NV
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Zip | 89110-4423
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Country | US
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Telephone | 702-465-3290
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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 | 225400000X
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Taxonomy Name | Rehabilitation Practitioner
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License Number |
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License Number State |
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