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General NPI Number Information
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NPI Number | 1861552143
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Entity Type | Individual
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Provider Name | FLORENCE M LIVELY RN
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Gender | Female
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Dates
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Enumeration Date | 12/09/2006
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Last Update Date | 11/18/2021
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Provider Practice Location Address
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Address Line | 141 KEDDIE ST
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City | FALLON
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State | NV
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Zip | 89406-2820
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Country | US
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Telephone | 775-423-7141
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Fax | 775-423-4020
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Provider Business Mailing Address
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Address Line | 727 FAIRVIEW DR STE A
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City | CARSON CITY
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State | NV
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Zip | 89701-5493
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Country | US
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Telephone | 775-684-5000
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Fax | 775-681-1811
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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 | 19995
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number | RN19995
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License Number State | NV
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