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General NPI Number Information
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NPI Number | 1497294367
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Entity Type | Individual
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Provider Name | ANDRE PLAUT NP
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Gender | Male
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Dates
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Enumeration Date | 02/13/2017
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Last Update Date | 12/19/2022
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Provider Practice Location Address
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Address Line | 2205 BRIDLEWOOD DR
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City | LAS VEGAS
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State | NV
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Zip | 89119-6161
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Country | US
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Telephone | 864-363-5449
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Fax |
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Provider Business Mailing Address
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Address Line | 3365 E FLAMINGO RD STE 2
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City | LAS VEGAS
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State | NV
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Zip | 89121-7440
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Country | US
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Telephone | 702-457-3888
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Fax | 702-974-2199
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | APRN002641
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License Number State | NV
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