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General NPI Number Information
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NPI Number | 1003367921
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Entity Type | Organization
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Legal Business Name | CHARLIE Y. NAHM, MD, PC
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Dates
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Enumeration Date | 10/14/2016
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Last Update Date | 09/12/2023
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Provider Practice Location Address
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Address Line | 6053 S FORT APACHE RD STE 100
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City | LAS VEGAS
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State | NV
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Zip | 89148-5577
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Country | US
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Telephone | 702-968-6259
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Fax | 702-987-3219
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Provider Business Mailing Address
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Address Line | 6053 S FORT APACHE RD STE 100
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City | LAS VEGAS
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State | NV
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Zip | 89148-5577
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Country | US
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Telephone | 702-968-6259
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Fax | 702-987-3219
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Authorized Official
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Title or Position | OWNER
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Name | DR. CHARLIE NAHM
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Credential | MD
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Telephone | 702-968-6259
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number |
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License Number State |
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