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General NPI Number Information
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NPI Number | 1437616877
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Entity Type | Individual
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Provider Name | SPARKLE S SIMPSON NP-C
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Gender | Female
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Dates
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Enumeration Date | 02/21/2019
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Last Update Date | 07/10/2024
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Provider Practice Location Address
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Address Line | 653 N TOWN CENTER DR STE 510
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City | LAS VEGAS
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State | NV
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Zip | 89144-0519
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Country | US
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Telephone | 702-487-7119
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Fax | 702-995-0033
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Provider Business Mailing Address
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Address Line | 10 SUN GLOW LN
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City | LAS VEGAS
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State | NV
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Zip | 89135-2615
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Country | US
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Telephone | 702-487-7119
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Fax | 702-995-0033
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 817373
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License Number State | NV
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