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General NPI Number Information
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NPI Number | 1568390862
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Entity Type | Organization
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Legal Business Name | ATLAS MAGNUS MEDICAL LLC
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Dates
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Enumeration Date | 05/08/2026
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Last Update Date | 05/08/2026
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Provider Practice Location Address
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Address Line | 325 HARBOUR COVE DR STE 319
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City | SPARKS
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State | NV
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Zip | 89434-7860
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Country | US
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Telephone | 702-285-9779
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Fax | 702-285-9779
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Provider Business Mailing Address
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Address Line | 325 HARBOUR COVE DR STE 319
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City | SPARKS
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State | NV
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Zip | 89434-7860
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Country | US
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Telephone | 702-285-9779
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Fax | 702-285-9779
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Authorized Official
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Title or Position | NP PRIMARY CARE PROVIDER
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Name | MISS VIVIAN CAYABYAB CAYABYAB
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Credential | APRN
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Telephone | 702-285-9779
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number |
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License Number State |
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