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General NPI Number Information
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NPI Number | 1720505381
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Entity Type | Individual
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Provider Name | FAITH MARIE NEPOMUCENO UNITE NP-C
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Gender | Female
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Dates
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Enumeration Date | 08/24/2017
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Last Update Date | 10/13/2023
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Provider Practice Location Address
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Address Line | 2121 E FLAMINGO RD STE 108
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City | LAS VEGAS
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State | NV
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Zip | 89119-5123
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Country | US
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Telephone | 702-481-5055
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Fax | 725-333-0850
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Provider Business Mailing Address
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Address Line | 2121 E FLAMINGO RD STE 108
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City | LAS VEGAS
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State | NV
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Zip | 89119-5123
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Country | US
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Telephone | 702-481-5055
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Fax | 725-333-0850
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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 | APRN002642
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | APRN002642
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License Number State | NV
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Taxonomy #3
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Taxonomy Code | 225400000X
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Taxonomy Name | Rehabilitation Practitioner
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License Number | APRN002642
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License Number State | NV
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