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General NPI Number Information
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NPI Number | 1598130726
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Entity Type | Individual
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Provider Name | RAUDEL ALVAREZ APRN
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Gender | Male
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Dates
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Enumeration Date | 12/14/2015
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Last Update Date | 06/12/2025
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Provider Practice Location Address
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Address Line | 2842 E LAKE MEAD BLVD STE A
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City | NORTH LAS VEGAS
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State | NV
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Zip | 89030-6548
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Country | US
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Telephone | 702-790-1014
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Fax |
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Provider Business Mailing Address
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Address Line | 9266 QUARTZ HILLS AVE
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City | LAS VEGAS
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State | NV
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Zip | 89178-6009
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Country | US
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Telephone | 786-322-0372
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 814484
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License Number State | NV
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