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General NPI Number Information
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NPI Number | 1114751112
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Entity Type | Organization
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Legal Business Name | NEVADA HEALTH CENTERS, INC.
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Dates
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Enumeration Date | 08/30/2024
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Last Update Date | 10/18/2024
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Provider Practice Location Address
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Address Line | 691 N NELLIS BLVD
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City | LAS VEGAS
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State | NV
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Zip | 89110-5383
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Country | US
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Telephone | 702-563-4662
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Fax |
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Provider Business Mailing Address
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Address Line | 3325 RESEARCH WAY
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City | CARSON CITY
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State | NV
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Zip | 89706-7913
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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 | PROVIDER RELATIONS MANAGER
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Name | ELIZABETH ESTEVES
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Credential |
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Telephone | 702-220-9902
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number |
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License Number State |
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