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General NPI Number Information
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NPI Number | 1174600845
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Entity Type | Organization
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Legal Business Name | SAN CARLOS COMPANY INC.
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Dates
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Enumeration Date | 11/01/2006
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Last Update Date | 04/25/2013
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Provider Practice Location Address
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Address Line | 2400 W CHARLESTON BLVD
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City | LAS VEGAS
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State | NV
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Zip | 89102-2179
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Country | US
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Telephone | 702-320-7930
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Fax | 702-320-7932
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Provider Business Mailing Address
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Address Line | 2400 W CHARLESTON BLVD
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City | LAS VEGAS
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State | NV
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Zip | 89102-2179
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Country | US
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Telephone | 702-320-7930
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Fax | 702-320-7932
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. CARLOS R. ANAYA
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Credential | M.D.
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Telephone | 702-320-7930
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 9391
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License Number State | NV
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