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General NPI Number Information
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NPI Number | 1962052316
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Entity Type | Individual
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Provider Name | FLORDELIS DELACRUZ FNP
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Gender | Female
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Dates
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Enumeration Date | 09/18/2019
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Last Update Date | 06/28/2021
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Provider Practice Location Address
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Address Line | 4170 S DECATUR BLVD STE C1
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City | LAS VEGAS
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State | NV
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Zip | 89103-5863
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Country | US
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Telephone | 619-484-4039
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Fax |
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Provider Business Mailing Address
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Address Line | 4170 S DECATUR BLVD STE C1
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City | LAS VEGAS
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State | NV
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Zip | 89103-5863
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Country | US
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Telephone | 702-659-8827
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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 | 815637
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 815637
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License Number State | NV
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