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General NPI Number Information
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NPI Number | 1386837482
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Entity Type | Individual
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Provider Name | MARINA GORBACHINSKY ANP
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Gender | Female
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Dates
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Enumeration Date | 08/22/2007
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Last Update Date | 04/22/2014
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Provider Practice Location Address
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Address Line | 4755 W ANN RD SUITE 400
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City | NORTH LAS VEGAS
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State | NV
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Zip | 89031-3424
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Country | US
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Telephone | 720-645-0332
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Fax |
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Provider Business Mailing Address
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Address Line | 1400 GOLDENSPUR LN
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City | LAS VEGAS
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State | NV
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Zip | 89117-1377
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Country | US
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Telephone | 412-877-1786
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Fax | 702-982-5148
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APN000963
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License Number State | NV
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