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General NPI Number Information
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NPI Number | 1811763774
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Entity Type | Organization
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Legal Business Name | EMMANUEL MEDICAL CENTERS LLC
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Dates
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Enumeration Date | 11/30/2023
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Last Update Date | 05/02/2025
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Provider Practice Location Address
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Address Line | 2465 REYNOLDS AVE STE 202
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City | NORTH LAS VEGAS
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State | NV
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Zip | 89030-7296
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Country | US
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Telephone | 702-381-0962
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Fax | 702-389-0048
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Provider Business Mailing Address
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Address Line | 2465 REYNOLDS AVE STE 202
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City | NORTH LAS VEGAS
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State | NV
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Zip | 89030-7296
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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 | CEO
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Name | NOEMI CABRERA
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Credential | DNP, APRN , FNP-C
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Telephone | 702-381-0962
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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 |
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License Number State |
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