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General NPI Number Information
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NPI Number | 1912629544
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Entity Type | Individual
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Provider Name | SHAMAICA VERONICA VARGAS DNP, AGACNP/FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 09/12/2022
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Last Update Date | 11/07/2025
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Provider Practice Location Address
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Address Line | 650 N NELLIS BLVD
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City | LAS VEGAS
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State | NV
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Zip | 89110-5382
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Country | US
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Telephone | 702-790-8000
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Fax | 702-684-7583
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Provider Business Mailing Address
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Address Line | 650 N NELLIS BLVD
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City | LAS VEGAS
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State | NV
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Zip | 89110-5382
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Country | US
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Telephone | 702-790-8000
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Fax | 702-684-7583
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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 | 858281
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 207QA0505X
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Taxonomy Name | Adult Medicine Physician
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License Number | 858281
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License Number State | NV
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