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General NPI Number Information
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NPI Number | 1164312781
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Entity Type | Organization
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Legal Business Name | I CARE PRIMARY CARE LTD
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Dates
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Enumeration Date | 07/07/2025
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Last Update Date | 07/24/2025
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Provider Practice Location Address
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Address Line | 2470 E FLAMINGO RD STE B
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City | LAS VEGAS
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State | NV
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Zip | 89121-5200
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Country | US
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Telephone | 702-281-9527
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Fax |
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Provider Business Mailing Address
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Address Line | 2470 E FLAMINGO RD STE B
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City | LAS VEGAS
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State | NV
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Zip | 89121-5200
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Country | US
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Telephone | 702-281-9527
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Fax |
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | MR. THAI MAI
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Credential | APRN
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Telephone | 702-281-9527
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 323P00000X
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Taxonomy Name | Psychiatric Residential Treatment Facility
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number |
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License Number State |
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