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General NPI Number Information
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NPI Number | 1366033342
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Entity Type | Individual
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Provider Name | MARY GRACE ALMIRANTE DEL ROSARIO PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 02/01/2021
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Last Update Date | 02/01/2021
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Provider Practice Location Address
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Address Line | 5973 ATLANTIS DREAM AVE
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City | LAS VEGAS
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State | NV
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Zip | 89139-6978
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Country | US
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Telephone | 702-355-9024
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Fax |
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Provider Business Mailing Address
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Address Line | 177 SNOW GOOSE AVE
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City | HENDERSON
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State | NV
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Zip | 89002-9275
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Country | US
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Telephone | 702-355-9024
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | PENDING
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License Number State | NV
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