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General NPI Number Information
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NPI Number | 1336659903
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Entity Type | Individual
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Provider Name | ARIUSKA MILAN MARTINEZ FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 10/09/2017
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Last Update Date | 01/05/2025
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Provider Practice Location Address
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Address Line | 2619 W CHARLESTON BLVD STE A
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City | LAS VEGAS
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State | NV
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Zip | 89102-2121
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Country | US
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Telephone | 702-559-6509
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Fax |
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Provider Business Mailing Address
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Address Line | 5305 CHAMPIONS AVE
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City | LAS VEGAS
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State | NV
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Zip | 89142-2902
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Country | US
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Telephone | 702-510-9796
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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 | 101Y00000X
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Taxonomy Name | Counselor
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | F12240377
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License Number State | NV
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