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General NPI Number Information
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NPI Number | 1700747847
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Entity Type | Individual
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Provider Name | AMANDA BRASILEIRO DE MORAES
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Gender | Female
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Dates
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Enumeration Date | 11/19/2025
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Last Update Date | 01/21/2026
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Provider Practice Location Address
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Address Line | 4040 N MARTIN LUTHER KING BLVD. STE A
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City | NORTH LAS VEGAS
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State | NV
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Zip | 89032
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Country | US
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Telephone | 702-644-4673
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Fax |
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Provider Business Mailing Address
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Address Line | 319 MOUNT BARCROFT DR
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City | HENDERSON
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State | NV
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Zip | 89015-7662
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Country | US
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Telephone | 725-400-3136
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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 | APRN849321
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License Number State | NV
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