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General NPI Number Information
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NPI Number | 1528439460
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Entity Type | Individual
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Provider Name | ANNABELLE SOCAOCO APRN
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Gender | Female
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Dates
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Enumeration Date | 10/19/2015
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Last Update Date | 07/30/2025
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Provider Practice Location Address
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Address Line | 1701 S TORREY PINES DR
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City | LAS VEGAS
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State | NV
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Zip | 89146-2999
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Country | US
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Telephone | 702-871-0005
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 230207
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City | LAS VEGAS
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State | NV
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Zip | 89105-0207
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Country | US
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Telephone | 702-277-4286
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Fax | 702-492-7149
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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 | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | APRN002021
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | APRN002021
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License Number State | NV
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