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NPI 1497091870

NPI 1497091870 : RACHEL ANN LUNINI PA-C : LAS VEGAS, NV

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General NPI Number Information
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    NPI Number           |    1497091870
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    Entity Type          |    Individual 
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    Provider Name        |    RACHEL ANN LUNINI PA-C
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    12/12/2012
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    Last Update Date     |    03/07/2023
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Provider Practice Location Address
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    Address Line         |    1701 BEARDEN DR. SUITE 200 APEX MEDICAL CENTER
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    City                 |    LAS VEGAS
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    State                |    NV
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    Zip                  |    89106
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    Country              |    US
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    Telephone            |    702-310-9110
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    Fax                  |    702-310-9114
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Provider Business Mailing Address
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    Address Line         |    1701 BEARDEN DRIVE SUITE 200 APEX MEDICAL CENTER
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    City                 |    LAS VEGAS
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    State                |    NV
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    Zip                  |    89106
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    Country              |    US
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    Telephone            |    702-310-9110
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    Fax                  |    702-310-9114
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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       |    PA1400
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    License Number State |    NV
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Taxonomy #2
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    Taxonomy Code        |    363AM0700X
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    Taxonomy Name        |    Medical Physician Assistant
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    License Number       |    PA1400
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    License Number State |    NV
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