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General NPI Number Information
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NPI Number | 1790378453
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Entity Type | Individual
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Provider Name | AMIBEN DUDHIA APRN
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Gender | Female
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Dates
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Enumeration Date | 02/13/2021
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Last Update Date | 02/13/2021
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Provider Practice Location Address
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Address Line | 8090 BLUE DIAMOND RD STE 180
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City | LAS VEGAS
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State | NV
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Zip | 89178-9257
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Country | US
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Telephone | 702-688-3370
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Fax |
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Provider Business Mailing Address
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Address Line | 8090 BLUE DIAMOND RD STE 180
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City | LAS VEGAS
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State | NV
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Zip | 89178-9257
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Country | US
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Telephone | 702-463-4411
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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 | 838189
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License Number State | NV
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