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General NPI Number Information
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NPI Number | 1982293320
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Entity Type | Individual
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Provider Name | CARA ROSE FRATIANNI NP
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Gender | Female
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Dates
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Enumeration Date | 01/11/2021
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Last Update Date | 01/18/2021
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Provider Practice Location Address
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Address Line | 4755 W ANN RD
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City | NORTH LAS VEGAS
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State | NV
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Zip | 89031-3424
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Country | US
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Telephone | 702-645-1360
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Fax |
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Provider Business Mailing Address
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Address Line | 4755 W ANN RD
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City | NORTH LAS VEGAS
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State | NV
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Zip | 89031-3424
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Country | US
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Telephone | 702-645-1360
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 95015395
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 835172
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License Number State | NV
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