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General NPI Number Information
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NPI Number | 1174320923
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Entity Type | Organization
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Legal Business Name | ALDER NEVADA OCULOPLASTICS PLLC
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Dates
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Enumeration Date | 02/28/2025
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Last Update Date | 06/26/2025
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Provider Practice Location Address
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Address Line | 7305 S PECOS RD STE 102
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City | LAS VEGAS
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State | NV
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Zip | 89120-3701
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Country | US
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Telephone | 702-485-5000
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Fax | 702-485-5001
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Provider Business Mailing Address
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Address Line | 2850 W HORIZON RIDGE PKWY STE 300
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City | HENDERSON
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State | NV
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Zip | 89052-4395
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | SENIOR CREDENTIALING MANAGER
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Name | SHELI CRABTREE
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Credential |
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Telephone | 512-314-1613
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207WX0200X
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Taxonomy Name | Ophthalmic Plastic and Reconstructive Surgery Physician
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License Number |
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License Number State |
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