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General NPI Number Information
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NPI Number | 1316579246
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Entity Type | Individual
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Provider Name | MIRANDA HUEPERS ND, FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 02/08/2020
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Last Update Date | 07/21/2025
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Provider Practice Location Address
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Address Line | 1771 E FLAMINGO RD STE 201A
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City | LAS VEGAS
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State | NV
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Zip | 89119-5157
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Country | US
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Telephone | 725-529-9288
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Fax | 725-712-0766
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Provider Business Mailing Address
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Address Line | 605 EL GUSTO AVE
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City | NORTH LAS VEGAS
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State | NV
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Zip | 89081-4427
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Country | US
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Telephone |
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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 | 175F00000X
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Taxonomy Name | Naturopath
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License Number | AHC-NAT-LIC-2121
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License Number State | MT
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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 | 1104634
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License Number State | TX
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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 | 869707
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License Number State | NV
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