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General NPI Number Information
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NPI Number | 1700666500
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Entity Type | Individual
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Provider Name | VANESSA MERCADO
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Gender | Female
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Dates
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Enumeration Date | 09/29/2023
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Last Update Date | 11/15/2024
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Provider Practice Location Address
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Address Line | 3221 E WARM SPRINGS RD
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City | LAS VEGAS
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State | NV
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Zip | 89120-3157
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Country | US
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Telephone | 702-434-8880
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Fax |
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Provider Business Mailing Address
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Address Line | 6207 ASHLEY HILLS AVE
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City | LAS VEGAS
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State | NV
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Zip | 89141-8907
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Country | US
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Telephone | 702-630-2536
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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 | 871898
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License Number State | NV
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