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General NPI Number Information
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NPI Number | 1801616594
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Entity Type | Individual
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Provider Name | ISRAEL BEYE APN
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Gender | Female
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Dates
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Enumeration Date | 10/16/2024
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Last Update Date | 10/16/2024
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Provider Practice Location Address
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Address Line | 3120 S RAINBOW BLVD STE 201
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City | LAS VEGAS
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State | NV
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Zip | 89146-6235
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Country | US
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Telephone | 702-612-5566
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Fax | 702-793-2901
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Provider Business Mailing Address
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Address Line | 6614 BLUE DIAMOND RD UNIT 1010
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City | LAS VEGAS
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State | NV
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Zip | 89139-7309
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Country | US
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Telephone | 702-328-1178
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 879266
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License Number State | NV
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