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General NPI Number Information
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NPI Number | 1689904849
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Entity Type | Individual
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Provider Name | DARIAN BLAKELY THORP APN
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Gender | Female
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Dates
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Enumeration Date | 01/11/2010
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Last Update Date | 01/11/2010
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Provider Practice Location Address
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Address Line | 6548 SOUTH MCCARRAN BLVD SUITE A
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City | RENO
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State | NV
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Zip | 89509
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Country | US
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Telephone | 775-825-8245
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Fax |
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Provider Business Mailing Address
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Address Line | 4600 ABERFELDY RD.
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City | RENO
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State | NV
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Zip | 89519
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Country | US
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Telephone | 530-448-9553
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | APN001161
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License Number State | NV
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