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General NPI Number Information
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NPI Number | 1932554771
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Entity Type | Organization
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Legal Business Name | MOBILE PHYSICIANS 24-7
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Dates
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Enumeration Date | 04/29/2016
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Last Update Date | 10/19/2017
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Provider Practice Location Address
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Address Line | 3030 S JONES BLVD STE 104
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City | LAS VEGAS
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State | NV
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Zip | 89146-6793
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Country | US
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Telephone | 702-605-3331
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Fax | 888-422-5095
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Provider Business Mailing Address
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Address Line | 8327 IVY LEAF ST
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City | LAS VEGAS
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State | NV
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Zip | 89139-6834
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Country | US
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Telephone | 702-605-3331
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Fax | 888-422-5095
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Authorized Official
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Title or Position | MANAGER
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Name | SAMMY M NZIVO
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Credential | APRN
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Telephone | 702-816-4639
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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 | APRN002206
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License Number State | NV
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