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General NPI Number Information
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NPI Number | 1427691351
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Entity Type | Individual
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Provider Name | MICHAEL WILLIAM HYSLOP APRN-C
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Gender | Male
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Dates
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Enumeration Date | 10/23/2019
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Last Update Date | 10/23/2019
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Provider Practice Location Address
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Address Line | 975 KIRMAN AVE
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City | RENO
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State | NV
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Zip | 89502-0993
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Country | US
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Telephone | 775-328-1870
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Fax |
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Provider Business Mailing Address
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Address Line | 6784 CENTAURUS DR
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City | SPARKS
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State | NV
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Zip | 89436-7340
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Country | US
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Telephone | 559-930-7248
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 825576
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License Number State | NV
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