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General NPI Number Information
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NPI Number | 1508607029
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Entity Type | Individual
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Provider Name | ROSA ANIJELICA DUNN APRN
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Gender | Female
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Dates
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Enumeration Date | 06/06/2024
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Last Update Date | 02/07/2025
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Provider Practice Location Address
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Address Line | 7140 SMOKE RANCH RD STE 150
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City | LAS VEGAS
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State | NV
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Zip | 89128-3157
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Country | US
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Telephone | 702-320-8111
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Fax | 702-320-8112
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Provider Business Mailing Address
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Address Line | 508 PUENTA DEL REY ST
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City | LAS VEGAS
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State | NV
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Zip | 89138-2011
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Country | US
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Telephone | 702-979-8881
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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 | 881958
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License Number State | NV
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