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General NPI Number Information
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NPI Number | 1124831896
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Entity Type | Organization
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Legal Business Name | BONDS LLC
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Dates
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Enumeration Date | 01/28/2025
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Last Update Date | 06/17/2025
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Provider Practice Location Address
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Address Line | 4275 BURNHAM AVE STE 128
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City | LAS VEGAS
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State | NV
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Zip | 89119-5400
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Country | US
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Telephone | 26-400-8787
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Fax | 725-204-5647
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Provider Business Mailing Address
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Address Line | 4275 BURNHAM AVE STE 128
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City | LAS VEGAS
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State | NV
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Zip | 89119-5400
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Country | US
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Telephone | 702-640-0878
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Fax | 725-204-5647
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Authorized Official
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Title or Position | OWNER OPERATOR
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Name | SCHADREY BONDS
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Credential | APRN / FNP-C
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Telephone | 702-640-0878
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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