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General NPI Number Information
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NPI Number | 1427519107
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Entity Type | Individual
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Provider Name | CONSTANZA SPELIUS PEREZ MD
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Gender | Female
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Dates
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Enumeration Date | 03/26/2019
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Last Update Date | 10/02/2025
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Provider Practice Location Address
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Address Line | 1775 BROWNING WAY STE 104
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City | ELKO
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State | NV
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Zip | 89801-8338
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Country | US
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Telephone | 775-738-5100
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Fax |
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Provider Business Mailing Address
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Address Line | 18124 WEDGE PKWY # 906
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City | RENO
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State | NV
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Zip | 89511-8134
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Country | US
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Telephone | 775-389-2989
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | A196823
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 24453
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License Number State | NV
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