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General NPI Number Information
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NPI Number | 1821642810
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Entity Type | Individual
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Provider Name | MARIA LUNA SABANICO ACNP
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Gender | Female
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Dates
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Enumeration Date | 07/28/2019
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Last Update Date | 12/26/2024
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Provider Practice Location Address
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Address Line | 9936 BUNDELLA DR
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City | LAS VEGAS
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State | NV
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Zip | 89134-7574
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Country | US
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Telephone | 702-659-2270
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Fax | 702-522-6071
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Provider Business Mailing Address
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Address Line | 9936 BUNDELLA DR
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City | LAS VEGAS
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State | NV
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Zip | 89134-7574
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Country | US
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Telephone | 702-659-2270
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Fax | 702-522-6071
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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 | 207RH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Internal Medicine) Physician
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License Number | 823099
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 208VP0000X
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Taxonomy Name | Pain Medicine Physician
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License Number | 823099
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License Number State | NV
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Taxonomy #3
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 823099
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License Number State | NV
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Taxonomy #4
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 823099
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License Number State | NV
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Taxonomy #5
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Taxonomy Code | 363LC1500X
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Taxonomy Name | Community Health Nurse Practitioner
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License Number | 823099
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License Number State | NV
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Taxonomy #6
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | 823099
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License Number State | NV
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Taxonomy #7
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | 823099
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License Number State | NV
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Taxonomy #8
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 823099
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License Number State | NV
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