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General NPI Number Information
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NPI Number | 1154583920
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Entity Type | Organization
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Legal Business Name | SOUTHERN NEVADA HOUSE CALLS
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Dates
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Enumeration Date | 07/02/2008
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Last Update Date | 07/02/2008
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Provider Practice Location Address
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Address Line | 7490 W SAHARA AVE
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City | LAS VEGAS
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State | NV
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Zip | 89117-2740
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Country | US
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Telephone | 888-384-5951
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Fax | 888-384-5951
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Provider Business Mailing Address
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Address Line | 5542 ANTICIPATION CT
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City | LAS VEGAS
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State | NV
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Zip | 89139-5653
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Country | US
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Telephone | 888-384-5951
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Fax | 888-384-5951
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Authorized Official
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Title or Position | MANAGING PARTNER
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Name | MRS. KIM ABBOTT
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Credential |
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Telephone | 702-269-0253
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 8780
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 685
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License Number State | NV
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