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General NPI Number Information
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NPI Number | 1457125247
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Entity Type | Individual
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Provider Name | HEATHER SPAULDING APRN-CNS
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Gender | Female
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Dates
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Enumeration Date | 11/13/2023
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Last Update Date | 11/13/2023
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Provider Practice Location Address
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Address Line | 1800 W CHARLESTON BLVD
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City | LAS VEGAS
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State | NV
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Zip | 89102-2386
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Country | US
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Telephone | 702-383-2258
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Fax |
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Provider Business Mailing Address
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Address Line | 4650 RANCH HOUSE RD UNIT 82
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City | NORTH LAS VEGAS
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State | NV
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Zip | 89031-4614
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Country | US
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Telephone | 207-974-8978
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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 | 364SP0200X
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Taxonomy Name | Pediatric Clinical Nurse Specialist
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License Number | 857331
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License Number State | NV
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