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General NPI Number Information
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NPI Number | 1922836618
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Entity Type | Individual
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Provider Name | MAASOOR GHANI RN, FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 07/24/2024
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Last Update Date | 08/07/2024
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Provider Practice Location Address
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Address Line | 1025 ROBERTA LN STE B
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City | SPARKS
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State | NV
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Zip | 89431-1893
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Country | US
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Telephone | 440-600-8987
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Fax |
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Provider Business Mailing Address
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Address Line | 4800 KIETZKE LN APT 151
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City | RENO
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State | NV
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Zip | 89502-5642
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Country | US
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Telephone | 937-304-9129
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 847070
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License Number State | NV
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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 | 847070
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License Number State | NV
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