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General NPI Number Information
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NPI Number | 1932362480
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Entity Type | Individual
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Provider Name | VANESSA GAIL MIRABBASI NP
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Gender | Female
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Dates
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Enumeration Date | 07/04/2008
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Last Update Date | 10/06/2025
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Provider Practice Location Address
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Address Line | 8025 AMIGO ST
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City | LAS VEGAS
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State | NV
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Zip | 89123-1210
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Country | US
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Telephone | 702-380-8300
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Fax | 702-380-8302
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Provider Business Mailing Address
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Address Line | 8025 AMIGO ST
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City | LAS VEGAS
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State | NV
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Zip | 89123-1210
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Country | US
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Telephone | 702-380-8300
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Fax | 702-380-8302
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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 | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | 309906-031
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | RN67831
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License Number State | NV
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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 | 832621
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License Number State | NV
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Taxonomy #4
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 14768-33
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License Number State | WI
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Taxonomy #5
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 832621
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License Number State | NV
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