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General NPI Number Information
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NPI Number | 1942773056
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Entity Type | Individual
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Provider Name | NINA MICHELLE ZEGLER PA-C
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Gender | Female
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Dates
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Enumeration Date | 01/10/2019
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Last Update Date | 10/07/2024
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Provider Practice Location Address
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Address Line | 1001 RIO VISTA DR
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City | FALLON
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State | NV
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Zip | 89406-5463
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Country | US
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Telephone | 775-423-3634
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Fax |
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Provider Business Mailing Address
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Address Line | 680 S ROCK BLVD
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City | RENO
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State | NV
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Zip | 89502-4113
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Country | US
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Telephone | 775-329-6300
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Fax | 775-348-3896
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | PA2264
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License Number State | NV
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