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General NPI Number Information
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NPI Number | 1962377242
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Entity Type | Individual
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Provider Name | ANA BEL VENEGAS AGACNP
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Gender | Female
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Dates
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Enumeration Date | 10/07/2025
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Last Update Date | 10/07/2025
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Provider Practice Location Address
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Address Line | 8879 W FLAMINGO RD STE 101
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City | LAS VEGAS
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State | NV
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Zip | 89147-8732
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Country | US
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Telephone | 702-665-8289
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Fax |
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Provider Business Mailing Address
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Address Line | 6901 BIENVILLE ST
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City | LAS VEGAS
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State | NV
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Zip | 89131-3585
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Country | US
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Telephone | 702-612-1012
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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 | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | 867183
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License Number State | NV
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