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General NPI Number Information
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NPI Number | 1063592921
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Entity Type | Organization
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Legal Business Name | NEVADA MEDICAL AND SURGICAL SUPPLY CORP
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Dates
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Enumeration Date | 10/16/2006
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 3175 W ALI BABA LN SUITE 802
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City | LAS VEGAS
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State | NV
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Zip | 89118-1611
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Country | US
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Telephone | 702-855-0092
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Fax | 702-240-9096
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Provider Business Mailing Address
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Address Line | 269 CIELITO LINDO ST
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City | HENDERSON
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State | NV
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Zip | 89012-4828
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Country | US
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Telephone | 702-617-8894
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Fax | 702-617-8846
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Authorized Official
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Title or Position | VP OF OPERATIONS/SECRETARY
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Name | MS. SHERRY C PATTERSON
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Credential |
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Telephone | 702-617-8894
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State | NV
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