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General NPI Number Information
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NPI Number | 1518439660
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Entity Type | Individual
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Provider Name | ANNA JEANNE CIBO A.P.R.N
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Gender | Female
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Dates
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Enumeration Date | 12/28/2018
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Last Update Date | 03/25/2022
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Provider Practice Location Address
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Address Line | 861 CORONADO CENTER DR STE 131
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City | HENDERSON
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State | NV
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Zip | 89052-3992
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Country | US
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Telephone | 725-777-0414
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Fax | 702-565-5027
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Provider Business Mailing Address
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Address Line | 861 CORONADO CENTER DR STE 131
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City | HENDERSON
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State | NV
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Zip | 89052-3992
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Country | US
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Telephone | 725-777-0414
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Fax | 702-565-5027
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 817867
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License Number State | NV
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