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General NPI Number Information
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NPI Number | 1154556769
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Entity Type | Organization
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Legal Business Name | NEVADA ORTHOPEDICS
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Dates
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Enumeration Date | 05/27/2009
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Last Update Date | 09/28/2023
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Provider Practice Location Address
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Address Line | 10635 PROFESSIONAL CIR STE A
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City | RENO
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State | NV
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Zip | 89521-5836
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Country | US
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Telephone | 775-852-0505
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Fax | 775-852-0508
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Provider Business Mailing Address
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Address Line | 10635 PROFESSIONAL CIR STE A
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City | RENO
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State | NV
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Zip | 89521-5836
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Country | US
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Telephone | 775-852-0505
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Fax | 775-852-0508
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | PAUL YOUNG SHONNARD
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Credential | MD
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Telephone | 775-852-0505
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 7756
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License Number State | NV
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