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General NPI Number Information
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NPI Number | 1841720521
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Entity Type | Individual
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Provider Name | DUSTIN BRADFORD VON HOLTEN PMHNP
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Gender | Male
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Dates
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Enumeration Date | 06/15/2017
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Last Update Date | 03/16/2025
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Provider Practice Location Address
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Address Line | 5940 S. RAINBOW BLVD
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City | LAS VEGAS NV 89118
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State | NV
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Zip | 89118-2506
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Country | US
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Telephone | 347-573-9479
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Fax | 347-745-5913
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Provider Business Mailing Address
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Address Line | 5940 S RAINBOW BLVD
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City | LAS VEGAS
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State | NV
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Zip | 89118-2506
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Country | US
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Telephone | 347-573-9479
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Fax | 347-745-5913
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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 | 402408
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 213914
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License Number State | AK
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 95027838
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | AP61467436
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License Number State | WA
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Taxonomy #5
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 26NJ01214100
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License Number State | NJ
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Taxonomy #6
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 13591362-4405
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License Number State | UT
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Taxonomy #7
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | CNP231481
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License Number State | ME
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Taxonomy #8
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 871465
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License Number State | NV
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Taxonomy #9
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Taxonomy Code | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number | 871465
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License Number State | NV
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Taxonomy #10
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Taxonomy Code | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number | RN61447966
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License Number State | WA
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Taxonomy #11
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Taxonomy Code | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number | 717042
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License Number State | NY
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Taxonomy #12
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Taxonomy Code | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number | 213913
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License Number State | AK
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Taxonomy #13
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Taxonomy Code | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number | 95345342
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License Number State | CA
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Taxonomy #14
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Taxonomy Code | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number | 26NR22994400
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License Number State | NJ
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Taxonomy #15
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Taxonomy Code | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number | 13591362-3102
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License Number State | UT
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