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General NPI Number Information
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NPI Number | 1528848561
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Entity Type | Individual
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Provider Name | STACIE AKIKO SALDIN MSN, APRN
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Gender | Female
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Dates
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Enumeration Date | 10/05/2023
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Last Update Date | 04/14/2025
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Provider Practice Location Address
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Address Line | 8635 W 3RD ST STE 685W
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City | LOS ANGELES
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State | CA
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Zip | 90048-6143
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Country | US
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Telephone | 424-315-0685
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Fax |
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Provider Business Mailing Address
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Address Line | 3350 N DURANGO DR APT 2128
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City | LAS VEGAS
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State | NV
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Zip | 89129-5108
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Country | US
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Telephone | 310-227-0167
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 95026182
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License Number State | CA
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