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General NPI Number Information
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NPI Number | 1861943300
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Entity Type | Individual
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Provider Name | CHERYL MARTIN DEMUCHA APRN
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Gender | Female
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Dates
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Enumeration Date | 10/19/2016
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 25 MCCABE DR
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City | RENO
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State | NV
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Zip | 89511-5991
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Country | US
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Telephone | 775-982-5000
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Fax | 775-982-3900
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Provider Business Mailing Address
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Address Line | 1155 MILL ST # M14
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City | RENO
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State | NV
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Zip | 89502-1576
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Country | US
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Telephone | 775-982-5262
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Fax | 775-982-5496
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | NP95005301
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 1138899
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 841385
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License Number State | NV
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