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General NPI Number Information
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NPI Number | 1558107888
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Entity Type | Individual
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Provider Name | NICOLE IGRAS DMD
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Gender | Female
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Dates
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Enumeration Date | 07/05/2024
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Last Update Date | 01/05/2026
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Provider Practice Location Address
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Address Line | 4372 W ANN RD
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City | NORTH LAS VEGAS
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State | NV
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Zip | 89031-3765
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Country | US
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Telephone | 702-325-7552
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Fax |
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Provider Business Mailing Address
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Address Line | 5417 PAINTED SUNRISE DR
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City | LAS VEGAS
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State | NV
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Zip | 89149-6446
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Country | US
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Telephone | 814-460-3311
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 8069
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License Number State | NV
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