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General NPI Number Information
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NPI Number | 1033537691
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Entity Type | Organization
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Legal Business Name | BRIDGET ESPY-CRAIG
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Dates
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Enumeration Date | 04/01/2014
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Last Update Date | 04/01/2014
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Provider Practice Location Address
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Address Line | 833 ASPEN PEAK LOOP
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City | HENDERSON
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State | NV
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Zip | 89011-1803
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Country | US
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Telephone | 702-326-0569
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Fax |
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Provider Business Mailing Address
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Address Line | 4917 STORMY RIDGE STREET
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City | NORTH LAS VEGAS
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State | NV
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Zip | 89081
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Country | US
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Telephone | 702-326-0569
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Fax |
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Authorized Official
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Title or Position | SUPERVISOR
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Name | BRIDGET ESPY-CRAIG
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Credential |
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Telephone | 702-917-2227
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302R00000X
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Taxonomy Name | Health Maintenance Organization
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License Number |
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License Number State |
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