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NPI Code Detail

MEDICARE: TASHA CHEMPLAVIL LLC

MEDICARE: TASHA CHEMPLAVIL LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QH0700XHearing and Speech Clinic/CenterSP-1602NV

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1255826343
Entity Type Code : Organization
Provider Name (Legal Business Name) : TASHA CHEMPLAVIL LLC
Provider Business Mailing Address
First Line : 6624 ANGELINA ST
Second Line :
City : LAS VEGAS
State : NV
Zip : 89120-2920
Country : US
Telephone Number : 702-339-5475
Fax Number :
Provider Business Practice Location Address
First Line : 6624 ANGELINA ST
Second Line :
City : LAS VEGAS
State : NV
Zip : 89120-2920
Country : US
Telephone Number : 702-339-5475
Fax Number :
Authorized Official
Title or Position : OWNER
Name : TASHA CHEMPLAVIL
Credential : MS, CCC-SLP
Telephone Number : 702-339-5475
Provider Enumeration Date : 06/29/2018
Last Update Date : 06/29/2018

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Directions to “TASHA CHEMPLAVIL LLC ” Practice Location

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