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General NPI Number Information
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NPI Number | 1053267450
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Entity Type | Organization
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Legal Business Name | IRIS QUACH LACTATION AND OCCUPATIONAL THERAPY PLLC
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Dates
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Enumeration Date | 03/09/2026
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Last Update Date | 03/09/2026
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Provider Practice Location Address
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Address Line | 683 SLEEPING CITY AVE
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City | HENDERSON
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State | NV
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Zip | 89015-7534
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Country | US
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Telephone | 702-850-1362
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Fax |
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Provider Business Mailing Address
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Address Line | 683 SLEEPING CITY AVE
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City | HENDERSON
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State | NV
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Zip | 89015-7534
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Country | US
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Telephone | 702-850-1362
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Fax |
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Authorized Official
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Title or Position | OCCUPATIONAL THERAPIST
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Name | IRIS KWAN
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Credential | OTD, OTR/L, IBCLC
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Telephone | 702-850-1362
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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