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General NPI Number Information
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NPI Number | 1487595450
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Entity Type | Individual
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Provider Name | JENNIKA RABAYA
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Gender | Female
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Dates
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Enumeration Date | 04/03/2026
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Last Update Date | 04/05/2026
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Provider Practice Location Address
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Address Line | 6462 N LOSEE RD STE 110803
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City | NORTH LAS VEGAS
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State | NV
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Zip | 89086-0103
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Country | US
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Telephone | 702-929-7450
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Fax |
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Provider Business Mailing Address
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Address Line | 6462 LOSEE RD SUITE 110 - 803
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City | NORTH LAS VEGAS
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State | NV
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Zip | 89086
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Country | US
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Telephone |
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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 | 816624
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License Number State | NV
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