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General NPI Number Information
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NPI Number | 1295325785
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Entity Type | Individual
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Provider Name | BAYINK-RAINE FREDERICK FALTER DNP, NPC
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Gender | Male
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Dates
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Enumeration Date | 01/19/2021
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Last Update Date | 08/31/2024
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Provider Practice Location Address
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Address Line | 2831 GEARY PL UNIT 2918
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City | LAS VEGAS
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State | NV
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Zip | 89109-0272
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Country | US
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Telephone | 775-513-3852
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Fax |
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Provider Business Mailing Address
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Address Line | 2831 GEARY PL UNIT 2918
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City | LAS VEGAS
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State | NV
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Zip | 89109-0272
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Country | US
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Telephone | 775-513-3852
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 836624
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 2083P0901X
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Taxonomy Name | Public Health & General Preventive Medicine Physician
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License Number | 836624
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License Number State | NV
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Taxonomy #3
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 836624
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License Number State | NV
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Taxonomy #4
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Taxonomy Code | 208VP0000X
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Taxonomy Name | Pain Medicine Physician
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License Number | 836624
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License Number State | NV
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Taxonomy #5
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 836624
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License Number State | NV
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