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General NPI Number Information
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NPI Number | 1326519919
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Entity Type | Individual
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Provider Name | ALISA MUSANTE APRN
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Gender | Female
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Dates
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Enumeration Date | 12/08/2018
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Last Update Date | 06/26/2019
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Provider Practice Location Address
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Address Line | 10624 S EASTERN AVE # A-955
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City | HENDERSON
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State | NV
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Zip | 89052-2982
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Country | US
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Telephone | 702-800-5393
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Fax | 702-407-7016
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Provider Business Mailing Address
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Address Line | 9994 SHADOW LANDING AVE
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City | LAS VEGAS
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State | NV
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Zip | 89166-5144
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Country | US
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Telephone | 772-539-2729
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 816250
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License Number State | NV
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