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General NPI Number Information
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NPI Number | 1316006232
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Entity Type | Individual
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Provider Name | SUSAN C DOCKINS FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 12/06/2006
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Last Update Date | 03/28/2023
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Provider Practice Location Address
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Address Line | 5380 S RAINBOW BLVD STE 236
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City | LAS VEGAS
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State | NV
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Zip | 89118-1879
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Country | US
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Telephone | 702-778-2204
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Fax | 702-688-4371
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Provider Business Mailing Address
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Address Line | 10620 SOUTHERN HIGHLANDS PKWY STE 110-289
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City | LAS VEGAS
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State | NV
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Zip | 89141-4371
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Country | US
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Telephone | 702-778-2204
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Fax | 702-688-4371
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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 | 847226
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP2327
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License Number State | AZ
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APN0992764NP
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License Number State | CO
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Taxonomy #4
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | C-APN.0000451-C-NP
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License Number State | CO
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