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General NPI Number Information
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NPI Number | 1497445605
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Entity Type | Individual
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Provider Name | NICHOLAS NAUMOFF APRN
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Gender | Male
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Dates
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Enumeration Date | 05/10/2023
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Last Update Date | 08/18/2025
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Provider Practice Location Address
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Address Line | 3001 SAINT ROSE PKWY
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City | HENDERSON
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State | NV
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Zip | 89052-3839
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Country | US
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Telephone | 702-616-5615
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Fax | 702-616-5120
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Provider Business Mailing Address
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Address Line | PO BOX 33269
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City | PHOENIX
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State | AZ
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Zip | 85067-3269
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Country | US
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Telephone | 602-406-4786
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Fax | 916-636-4358
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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 | 829381
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 363LC0200X
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Taxonomy Name | Critical Care Medicine Nurse Practitioner
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License Number | 829381
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License Number State | NV
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