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General NPI Number Information
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NPI Number | 1013792167
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Entity Type | Organization
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Legal Business Name | US TELEHEALTH CORP
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Dates
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Enumeration Date | 08/28/2023
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Last Update Date | 08/28/2023
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Provider Practice Location Address
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Address Line | 336 FOREST RIDGE ST
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City | HENDERSON
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State | NV
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Zip | 89014-7830
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Country | US
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Telephone | 725-264-5075
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Fax |
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Provider Business Mailing Address
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Address Line | 336 FOREST RIDGE ST
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City | HENDERSON
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State | NV
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Zip | 89014-7830
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Country | US
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Telephone | 725-264-5075
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | JURI MALKIN
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Credential |
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Telephone | 725-264-5075
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 209800000X
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Taxonomy Name | Legal Medicine (M.D./D.O.) Physician
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License Number |
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License Number State |
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