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General NPI Number Information
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NPI Number | 1023956430
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Entity Type | Organization
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Legal Business Name | PRAXIS ANESTHESIA KRAVCHENKO GROUP PC
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Dates
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Enumeration Date | 03/24/2026
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Last Update Date | 03/25/2026
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Provider Practice Location Address
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Address Line | 8530 W SUNSET RD STE 100
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City | LAS VEGAS
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State | NV
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Zip | 89113-2244
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Country | US
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Telephone | 702-789-5700
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Fax |
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Provider Business Mailing Address
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Address Line | 2550 E ROSE GARDEN LN UNIT 71850
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City | PHOENIX
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State | AZ
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Zip | 85050-7734
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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 | MANAGER
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Name | HEATHER HARRIS
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Credential |
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Telephone | 602-619-4509
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number |
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License Number State |
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