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General NPI Number Information
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NPI Number | 1639702996
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Entity Type | Individual
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Provider Name | AMBERLY RENEE STANFILL MA, EKG TECH, BST
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Gender | Female
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Dates
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Enumeration Date | 02/14/2020
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Last Update Date | 01/16/2021
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Provider Practice Location Address
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Address Line | 2235 E FLAMINGO RD STE 273
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City | LAS VEGAS
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State | NV
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Zip | 89119-0802
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Country | US
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Telephone | 725-204-7591
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Fax | 702-920-8493
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Provider Business Mailing Address
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Address Line | 2235 E FLAMINGO RD STE 273
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City | LAS VEGAS
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State | NV
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Zip | 89119-0802
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Country | US
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Telephone | 725-204-7591
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Fax | 702-920-8493
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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 | 247200000X
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Taxonomy Name | Other Technician
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License Number |
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License Number State |
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