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General NPI Number Information
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NPI Number | 1295066801
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Entity Type | Individual
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Provider Name | CHRISTIAN IWOBI FNP
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Gender | Female
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Dates
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Enumeration Date | 01/21/2010
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Last Update Date | 12/12/2024
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Provider Practice Location Address
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Address Line | 6415 S FORT APACHE RD STE 185
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City | LAS VEGAS
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State | NV
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Zip | 89148-6746
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Country | US
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Telephone | 702-530-2266
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Fax | 702-760-5818
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Provider Business Mailing Address
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Address Line | 9105 W FLAMINGO RD APT 1011
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City | LAS VEGAS
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State | NV
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Zip | 89147-6431
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Country | US
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Telephone | 469-536-5899
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Fax | 702-760-5818
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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 | 18485
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License Number State | CA
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