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General NPI Number Information
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NPI Number | 1801658083
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Entity Type | Individual
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Provider Name | JOI ARIELLE OCATE SORIA NP
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Gender | Female
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Dates
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Enumeration Date | 01/24/2024
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Last Update Date | 04/16/2024
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Provider Practice Location Address
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Address Line | 51 N PECOS RD STE 113
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City | LAS VEGAS
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State | NV
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Zip | 89101-4819
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Country | US
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Telephone | 702-527-2479
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Fax |
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Provider Business Mailing Address
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Address Line | 3440 E RUSSELL RD # VO4
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City | LAS VEGAS
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State | NV
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Zip | 89120-2201
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Country | US
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Telephone |
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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 | 877705
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License Number State | NV
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