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General NPI Number Information
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NPI Number | 1003281452
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Entity Type | Organization
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Legal Business Name | HENDERSON HOSPITAL
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Dates
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Enumeration Date | 12/10/2015
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Last Update Date | 01/24/2022
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Provider Practice Location Address
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Address Line | 1050 WEST GALLERIA DRIVE
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City | HENDERSON
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State | NV
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Zip | 89011
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Country | US
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Telephone | 702-963-7000
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Fax |
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Provider Business Mailing Address
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Address Line | 1050 WEST GALLERIA DRIVE
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City | HENDERSON
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State | NV
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Zip | 89011
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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 | CFO, SENIOR VP
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Name | STEVE FILTON
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Credential |
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Telephone | 610-768-3300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 8436-HOS-0
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License Number State | NV
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