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General NPI Number Information
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NPI Number | 1841005014
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Entity Type | Individual
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Provider Name | ANIA ALIAGA MENDOZA
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Gender | Female
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Dates
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Enumeration Date | 02/12/2025
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Last Update Date | 02/12/2025
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Provider Practice Location Address
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Address Line | 5322 DEL GADO DR APT 3
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City | LAS VEGAS
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State | NV
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Zip | 89103-3566
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Country | US
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Telephone | 702-695-4008
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Fax |
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Provider Business Mailing Address
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Address Line | 5322 DEL GADO DR APT 3
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City | LAS VEGAS
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State | NV
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Zip | 89103-3566
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Country | US
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Telephone | 702-695-4008
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 884289
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 163WG0000X
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Taxonomy Name | General Practice Registered Nurse
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License Number | 884289
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License Number State | NV
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Taxonomy #3
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | 884289
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License Number State | NV
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Taxonomy #4
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Taxonomy Code | 163WP0200X
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Taxonomy Name | Pediatric Registered Nurse
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License Number | 884289
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License Number State | NV
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