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General NPI Number Information
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NPI Number | 1063722122
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Entity Type | Organization
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Legal Business Name | ULTIMATE CHOICE LLC
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Dates
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Enumeration Date | 10/07/2010
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Last Update Date | 10/07/2010
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Provider Practice Location Address
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Address Line | 5440 W SAHARA AVE SUITE 202
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City | LAS VEGAS
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State | NV
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Zip | 89146-0355
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Country | US
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Telephone | 702-256-3637
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Fax |
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Provider Business Mailing Address
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Address Line | 5440 W SAHARA AVE SUITE 202
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City | LAS VEGAS
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State | NV
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Zip | 89146-0355
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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 | MEMBER
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Name | NANCI A QUINN
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Credential | APN
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Telephone | 702-256-3637
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | APN001229
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License Number State | NV
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