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NPI 1144081118

NPI 1144081118 : SORAN HEALTH NEVADA (NAVAR), PLLC : LAS VEGAS, NV

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General NPI Number Information
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    NPI Number           |    1144081118
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    Entity Type          |    Organization 
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    Legal Business Name  |    SORAN HEALTH NEVADA (NAVAR), PLLC 
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Dates
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    Enumeration Date     |    01/17/2024
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    Last Update Date     |    09/02/2025
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Provider Practice Location Address
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    Address Line         |    4300 W TROPICANA AVE STE 2 
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    City                 |    LAS VEGAS
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    State                |    NV
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    Zip                  |    89103-5414
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    Country              |    US
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    Telephone            |    725-400-3763
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    4300 W TROPICANA AVE STE 2 
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    City                 |    LAS VEGAS
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    State                |    NV
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    Zip                  |    89103-5414
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    Country              |    US
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    Telephone            |    725-400-3763
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    Fax                  |    725-400-3763
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Authorized Official
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    Title or Position    |    PA-C
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    Name                 |     MADELEINE  NAVAR 
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    Credential           |    PHYSICIAN ASSISTANT
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    Telephone            |    702-449-8614
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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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