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General NPI Number Information
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NPI Number | 1346814787
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Entity Type | Organization
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Legal Business Name | MARGUERITE BRATHWAITE MD PLLC
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Dates
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Enumeration Date | 05/19/2021
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Last Update Date | 08/16/2021
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Provider Practice Location Address
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Address Line | 7650 W SAHARA AVE
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City | LAS VEGAS
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State | NV
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Zip | 89117-2750
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Country | US
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Telephone | 702-413-7740
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Fax | 702-413-7975
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Provider Business Mailing Address
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Address Line | 9811 W CHARLESTON BLVD STE 2-421
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City | LAS VEGAS
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State | NV
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Zip | 89117-7528
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Country | US
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Telephone | 702-413-7740
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Fax | 702-413-7975
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Authorized Official
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Title or Position | CREDENTIALER
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Name | MARIA ELWELL
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Credential |
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Telephone | 702-556-6175
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State |
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