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General NPI Number Information
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NPI Number | 1386113546
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Entity Type | Organization
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Legal Business Name | ADVANCED PRACTICE PRIMARY CARE LLC
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Dates
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Enumeration Date | 11/17/2018
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Last Update Date | 07/03/2023
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Provider Practice Location Address
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Address Line | 4773 CAUGHLIN PKWY
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City | RENO
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State | NV
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Zip | 89519-1011
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Country | US
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Telephone | 775-683-8239
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Fax | 775-683-9997
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Provider Business Mailing Address
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Address Line | 2825 HERO WAY
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City | RENO
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State | NV
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Zip | 89521-4366
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Country | US
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Telephone | 775-682-8239
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Fax |
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Authorized Official
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Title or Position | APRN
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Name | PAULINE STOLTZNER
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Credential | FNP-BC, PMHNP-BC
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Telephone | 775-683-8239
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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 |
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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 |
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License Number State |
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