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General NPI Number Information
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NPI Number | 1144872870
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Entity Type | Organization
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Legal Business Name | APP OF NEVADA ED PLLC
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Dates
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Enumeration Date | 07/12/2019
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Last Update Date | 01/26/2023
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Provider Practice Location Address
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Address Line | 1299 BERTHA HOWE AVE
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City | MESQUITE
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State | NV
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Zip | 89027-7500
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Country | US
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Telephone | 855-246-8607
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Fax |
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Provider Business Mailing Address
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Address Line | 5121 MARYLAND WAY STE 300
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City | BRENTWOOD
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State | TN
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Zip | 37027-7516
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Country | US
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Telephone | 615-928-6268
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | JAMES GRIMES
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Credential |
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Telephone | 855-246-8607
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number |
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License Number State |
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