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General NPI Number Information
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NPI Number | 1336836386
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Entity Type | Individual
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Provider Name | ESTELA ESTELA AGUILAR APRN, FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 04/20/2023
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Last Update Date | 04/20/2023
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Provider Practice Location Address
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Address Line | 701 N PECOS RD
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City | LAS VEGAS
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State | NV
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Zip | 89101-2400
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Country | US
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Telephone | 702-455-3692
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Fax |
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Provider Business Mailing Address
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Address Line | 6812 EMERALD TREE CT
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City | LAS VEGAS
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State | NV
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Zip | 89130-7908
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Country | US
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Telephone | 702-885-6495
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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 | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | 866542
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License Number State | NV
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