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General NPI Number Information
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NPI Number | 1861208035
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Entity Type | Individual
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Provider Name | JAMES VIR ABRENICA SALES APRN
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Gender | Male
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Dates
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Enumeration Date | 12/03/2024
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Last Update Date | 09/04/2025
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Provider Practice Location Address
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Address Line | 229 N PECOS RD STE 120
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City | HENDERSON
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State | NV
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Zip | 89074-7364
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Country | US
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Telephone | 702-629-7510
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Fax | 702-629-7519
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Provider Business Mailing Address
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Address Line | 8888 CATFISH STREAM AVE
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City | LAS VEGAS
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State | NV
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Zip | 89178-7203
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Country | US
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Telephone | 862-208-8180
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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 | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | 854288
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 854288
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License Number State | NV
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