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General NPI Number Information
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NPI Number | 1104051432
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Entity Type | Organization
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Legal Business Name | HEALTH TECHNOLOGY SERVICE SOLUTIONS
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Dates
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Enumeration Date | 05/15/2009
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Last Update Date | 05/15/2009
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Provider Practice Location Address
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Address Line | 1090 WIGWAM PKWY SUITE 100
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City | HENDERSON
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State | NV
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Zip | 89074-8181
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Country | US
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Telephone | 702-454-0201
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Fax | 702-454-1245
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Provider Business Mailing Address
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Address Line | 1090 WIGWAM PKWY SUITE 100
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City | HENDERSON
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State | NV
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Zip | 89074-8181
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Country | US
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Telephone | 702-454-0201
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Fax | 702-454-1245
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Authorized Official
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Title or Position | OWNER
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Name | DENISE DAY CROSSON
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Credential | FNP,PH.D.
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Telephone | 702-454-0201
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 0024164480
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License Number State | VA
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