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General NPI Number Information
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NPI Number | 1114889680
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Entity Type | Organization
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Legal Business Name | MANA MEDICAL SHLIFER PLLC
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Dates
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Enumeration Date | 12/02/2025
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Last Update Date | 12/02/2025
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Provider Practice Location Address
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Address Line | 6655 W SAHARA AVE STE D104
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City | LAS VEGAS
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State | NV
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Zip | 89146-0846
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Country | US
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Telephone | 702-886-7075
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Fax | 702-886-7075
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Provider Business Mailing Address
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Address Line | 6655 W SAHARA AVE STE D104
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City | LAS VEGAS
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State | NV
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Zip | 89146-0846
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Country | US
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Telephone | 702-886-7075
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Fax | 702-886-7075
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MARLENE REYNOLDS
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Credential |
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Telephone | 702-886-7075
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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