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General NPI Number Information
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NPI Number | 1649016551
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Entity Type | Individual
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Provider Name | KANE MANUEL ARES APRN
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Gender | Male
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Dates
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Enumeration Date | 07/01/2024
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Last Update Date | 07/03/2025
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Provider Practice Location Address
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Address Line | 1490 W SUNSET RD STE 120
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City | HENDERSON
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State | NV
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Zip | 89014-6635
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Country | US
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Telephone | 855-955-5428
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Fax | 855-389-0835
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Provider Business Mailing Address
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Address Line | 9287 HOSNER ST
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City | LAS VEGAS
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State | NV
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Zip | 89178-6293
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Country | US
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Telephone | 702-885-0787
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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 | 879321
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License Number State | NV
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