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General NPI Number Information
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NPI Number | 1003660176
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Entity Type | Organization
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Legal Business Name | PROSSAVID HEALTH CARE CENTER L C
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Dates
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Enumeration Date | 04/15/2024
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Last Update Date | 08/19/2025
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Provider Practice Location Address
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Address Line | 3365 E FLAMINGO RD STE 3
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City | LAS VEGAS
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State | NV
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Zip | 89121-7440
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Country | US
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Telephone | 702-764-7765
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Fax | 725-205-8557
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Provider Business Mailing Address
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Address Line | 3365 E FLAMINGO RD STE 3
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City | LAS VEGAS
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State | NV
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Zip | 89121-7440
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Country | US
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Telephone | 702-764-7765
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Fax | 702-552-5160
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Authorized Official
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Title or Position | OWNER
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Name | ADRIAN CASTILLO MILANES
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Credential | NP
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Telephone | 702-764-7765
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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