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General NPI Number Information
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NPI Number | 1972385607
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Entity Type | Individual
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Provider Name | PERLA CARDENAS LMT
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Gender | Female
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Dates
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Enumeration Date | 10/17/2023
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Last Update Date | 10/17/2023
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Provider Practice Location Address
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Address Line | 2291 S FORT APACHE RD # 106
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City | LAS VEGAS
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State | NV
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Zip | 89117-5895
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Country | US
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Telephone | 702-776-7766
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Fax |
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Provider Business Mailing Address
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Address Line | 5507 W CHEYENNE AVE # 5505D
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City | LAS VEGAS
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State | NV
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Zip | 89108-4765
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Country | US
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Telephone |
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 119115
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License Number State | NV
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