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General NPI Number Information
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NPI Number | 1891925756
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Entity Type | Individual
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Provider Name | TRACY N KING WHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 07/24/2009
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Last Update Date | 10/31/2025
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Provider Practice Location Address
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Address Line | 1050 E FLAMINGO RD STE 1071050
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City | LAS VEGAS
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State | NV
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Zip | 89119-7427
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Country | US
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Telephone | 702-721-9799
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Fax | 678-968-2287
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Provider Business Mailing Address
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Address Line | 1050 E FLAMINGO RD
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City | LAS VEGAS
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State | NV
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Zip | 89119-7427
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Country | US
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Telephone | 702-721-9799
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Fax | 678-968-2287
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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 | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | 866361
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | COA.10725-NP
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License Number State | OH
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