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General NPI Number Information
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NPI Number | 1134949605
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Entity Type | Organization
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Legal Business Name | AFFINITY HEALTH ELKO, LLC
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Dates
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Enumeration Date | 10/10/2024
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Last Update Date | 10/10/2024
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Provider Practice Location Address
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Address Line | 2102 IDAHO ST
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City | ELKO
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State | NV
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Zip | 89801-2625
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Country | US
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Telephone | 775-389-5778
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Fax | 775-460-2368
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Provider Business Mailing Address
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Address Line | 2102 IDAHO ST
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City | ELKO
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State | NV
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Zip | 89801-2625
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Country | US
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Telephone | 775-389-5778
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Fax | 775-460-2368
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Authorized Official
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Title or Position | BUSINESS OFFICE MANAGER
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Name | MS. ANGELA RENEE BROWNING
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Credential | CCS
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Telephone | 775-340-9600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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