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General NPI Number Information
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NPI Number | 1649160946
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Entity Type | Individual
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Provider Name | REBEKAH MAY HENDERSON RNFA
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Gender | Female
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Dates
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Enumeration Date | 07/08/2025
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Last Update Date | 07/08/2025
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Provider Practice Location Address
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Address Line | 1107 US HIGHWAY 395 N
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City | GARDNERVILLE
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State | NV
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Zip | 89410-5304
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Country | US
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Telephone | 775-182-1500
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Fax |
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Provider Business Mailing Address
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Address Line | 6195 SHETLAND ST
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City | STAGECOACH
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State | NV
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Zip | 89429-9108
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Country | US
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Telephone | 916-390-3056
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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 | 163WR0006X
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Taxonomy Name | Registered Nurse First Assistant
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License Number | 821309
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License Number State | NV
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