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General NPI Number Information
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NPI Number | 1912057191
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Entity Type | Individual
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Provider Name | COURTNEY G LUPIA BLASI RN, WHNP
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Gender | Female
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Dates
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Enumeration Date | 01/11/2007
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Last Update Date | 01/24/2025
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Provider Practice Location Address
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Address Line | 400 S 4TH ST STE 500
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City | LAS VEGAS
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State | NV
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Zip | 89101-6207
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Country | US
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Telephone | 888-731-8994
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Fax |
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Provider Business Mailing Address
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Address Line | 400 S 4TH ST STE 500
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City | LAS VEGAS
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State | NV
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Zip | 89101-6207
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Country | US
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Telephone | 888-731-8994
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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 | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | R2038096
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 176701
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License Number State | CO
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Taxonomy #3
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Taxonomy Code | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | 820830
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License Number State | NV
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