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General NPI Number Information
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NPI Number | 1023451630
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Entity Type | Organization
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Legal Business Name | LAS VEGAS VETERANS ADMINISTRATION
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Dates
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Enumeration Date | 04/12/2013
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Last Update Date | 04/12/2013
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Provider Practice Location Address
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Address Line | 6900 PECOS RD
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City | NORTH LAS VEGAS
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State | NV
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Zip | 89086-4400
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Country | US
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Telephone | 702-791-9000
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Fax |
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Provider Business Mailing Address
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Address Line | 6900 PECOS RD
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City | NORTH LAS VEGAS
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State | NV
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Zip | 89086-4400
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Country | US
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Telephone | 702-791-9000
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Fax |
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Authorized Official
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Title or Position | HUMAN RESOURCES
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Name | MRS. NADINE HARRIS
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Credential |
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Telephone | 702-791-9000
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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 | RTL3676
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License Number State | NV
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