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General NPI Number Information
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NPI Number | 1982268439
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Entity Type | Individual
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Provider Name | LUCIANA BRANDAO PAIM MARQUES M.D.
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Gender | Female
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Dates
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Enumeration Date | 04/30/2019
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Last Update Date | 04/29/2025
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Provider Practice Location Address
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Address Line | 1 BREAKTHROUGH WAY
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City | LAS VEGAS
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State | NV
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Zip | 89135-3011
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Country | US
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Telephone | 702-732-1493
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Fax | 702-732-1080
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Provider Business Mailing Address
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Address Line | 10170 W TROPICANA AVE # 156-252
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City | LAS VEGAS
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State | NV
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Zip | 89147-8465
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Country | US
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Telephone | 702-732-1493
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Fax | 702-691-5701
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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 | 2080P0216X
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Taxonomy Name | Pediatric Rheumatology Physician
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License Number | TRN28217
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | BP10081525
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License Number State | TX
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