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General NPI Number Information
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NPI Number | 1487286654
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Entity Type | Individual
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Provider Name | NOELLE MARIE DAVIS-MARINACCIO APRN, FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 02/06/2020
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Last Update Date | 02/06/2020
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Provider Practice Location Address
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Address Line | 5570 LONGLEY LANE
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City | RENO
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State | NV
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Zip | 89511
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Country | US
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Telephone | 775-800-4444
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Fax |
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Provider Business Mailing Address
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Address Line | 3346 SONOITA CT
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City | SPARKS
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State | NV
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Zip | 89436
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Country | US
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Telephone | 775-302-6686
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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 | APRN-CNP826633
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License Number State | NV
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