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General NPI Number Information
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NPI Number | 1619438389
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Entity Type | Individual
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Provider Name | JOSEPH LAU APRN
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Gender | Male
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Dates
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Enumeration Date | 03/26/2019
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Last Update Date | 05/24/2022
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Provider Practice Location Address
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Address Line | 2645 W HORIZON RIDGE PKWY STE 120
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City | HENDERSON
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State | NV
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Zip | 89052-2899
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Country | US
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Telephone | 702-790-2211
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Fax | 702-790-2316
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Provider Business Mailing Address
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Address Line | 3097 E WARM SPRINGS RD STE 400
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City | LAS VEGAS
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State | NV
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Zip | 89120-3757
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Country | US
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Telephone | 702-790-2211
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Fax | 702-790-2316
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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 | 819197
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License Number State | NV
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