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General NPI Number Information
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NPI Number | 1457997793
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Entity Type | Individual
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Provider Name | SHARON DEL ROSARIO-AQUINO PA-C
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Gender | Female
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Dates
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Enumeration Date | 11/21/2019
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Last Update Date | 03/14/2022
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Provider Practice Location Address
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Address Line | 5375 S FORT APACHE RD STE 102&103
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City | LAS VEGAS
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State | NV
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Zip | 89148-7623
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Country | US
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Telephone | 702-463-9159
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Fax | 702-463-6611
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Provider Business Mailing Address
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Address Line | 5375 S FORT APACHE RD STE 102&103
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City | LAS VEGAS
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State | NV
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Zip | 89148-7623
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Country | US
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Telephone | 702-463-9159
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Fax | 702-463-6611
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA2252
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License Number State | NV
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