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General NPI Number Information
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NPI Number | 1326919531
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Entity Type | Organization
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Legal Business Name | MANA MEDICAL SHLIFER PLLC
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Dates
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Enumeration Date | 09/12/2025
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Last Update Date | 12/05/2025
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Provider Practice Location Address
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Address Line | 6655 W SAHARA AVE STE D104
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City | LAS VEGAS
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State | NV
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Zip | 89146-0846
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Country | US
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Telephone | 725-205-2457
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Fax |
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Provider Business Mailing Address
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Address Line | 6655 W SAHARA AVE STE D104
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City | LAS VEGAS
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State | NV
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Zip | 89146-0846
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Country | US
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Telephone | 725-205-2457
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Fax | 725-240-7742
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MARLENE REYNOLDS
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Credential |
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Telephone | 702-886-7075
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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