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General NPI Number Information
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NPI Number | 1952972408
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Entity Type | Individual
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Provider Name | STEPHANIE JO ZUNINI CAA
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Gender | Female
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Dates
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Enumeration Date | 07/06/2021
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Last Update Date | 08/30/2024
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Provider Practice Location Address
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Address Line | 7160 RAFAEL RIVERA WAY STE 210
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City | LAS VEGAS
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State | NV
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Zip | 89113-5395
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Country | US
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Telephone | 702-878-0070
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Fax | 702-805-0307
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Provider Business Mailing Address
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Address Line | PO BOX 8408657
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City | DALLAS
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State | TX
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Zip | 75284-0001
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Country | US
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Telephone | 725-204-4632
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Fax | 702-805-0307
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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 | 367H00000X
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Taxonomy Name | Anesthesiologist Assistant
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License Number | ANT.0000180
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 367H00000X
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Taxonomy Name | Anesthesiologist Assistant
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License Number | 75000085A
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License Number State | IN
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Taxonomy #3
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Taxonomy Code | 367H00000X
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Taxonomy Name | Anesthesiologist Assistant
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License Number | AA01
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License Number State | NV
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