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General NPI Number Information
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NPI Number | 1417753377
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Entity Type | Organization
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Legal Business Name | INSTACARE VIP LLC
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Dates
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Enumeration Date | 02/21/2025
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Last Update Date | 02/21/2025
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Provider Practice Location Address
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Address Line | 3651 LINDELL RD # D-373
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City | LAS VEGAS
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State | NV
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Zip | 89103-1254
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Country | US
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Telephone | 310-709-2028
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Fax |
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Provider Business Mailing Address
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Address Line | 3651 LINDELL RD # D-373
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City | LAS VEGAS
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State | NV
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Zip | 89103-1254
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Country | US
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Telephone | 310-709-2028
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Fax |
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Authorized Official
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Title or Position | CNO
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Name | KATHERINE AGRON
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Credential | NP
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Telephone | 703-999-4693
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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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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Taxonomy #3
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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