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General NPI Number Information
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NPI Number | 1518706555
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Entity Type | Individual
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Provider Name | CLARENEIS LOLITA RIVERS LPN
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Gender | Female
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Dates
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Enumeration Date | 05/20/2024
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Last Update Date | 05/20/2024
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Provider Practice Location Address
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Address Line | 250 PILOT RD STE 250
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City | LAS VEGAS
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State | NV
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Zip | 89119-3514
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Country | US
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Telephone | 702-982-3292
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Fax | 702-982-5286
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Provider Business Mailing Address
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Address Line | 11068 VALLEROSA ST
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City | LAS VEGAS
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State | NV
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Zip | 89141-3980
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Country | US
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Telephone | 805-296-0884
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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 | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | 838315
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License Number State | NV
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