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General NPI Number Information
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NPI Number | 1063608701
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Entity Type | Organization
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Legal Business Name | USACS INTEGRATED ACUTE CARE SERVICES OF NEVADA BAGNOLI P C
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Dates
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Enumeration Date | 09/17/2007
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Last Update Date | 09/25/2025
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Provider Practice Location Address
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Address Line | 1600 MEDICAL PKWY
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City | CARSON CITY
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State | NV
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Zip | 89703-4625
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Country | US
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Telephone | 844-474-4019
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Fax | 775-445-5175
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Provider Business Mailing Address
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Address Line | 4535 DRESSLER RD NW
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City | CANTON
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State | OH
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Zip | 44718-2545
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Country | US
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Telephone | 844-474-4019
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Fax | 330-492-8489
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Authorized Official
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Title or Position | PROVIDER ENROLLMENT OFFICER
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Name | JENNIFER CHASTAIN
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Credential |
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Telephone | 844-474-4019
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number |
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License Number State | NV
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