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General NPI Number Information
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NPI Number | 1184373003
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Entity Type | Organization
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Legal Business Name | WEKARE MEDICAL CENTER
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Dates
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Enumeration Date | 03/18/2022
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Last Update Date | 07/17/2025
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Provider Practice Location Address
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Address Line | 3215 W CHARLESTON BLVD STE 110
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City | LAS VEGAS
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State | NV
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Zip | 89102-2182
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Country | US
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Telephone | 702-430-7362
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Fax | 702-935-7624
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Provider Business Mailing Address
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Address Line | 3215 W CHARLESTON BLVD STE 110
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City | LAS VEGAS
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State | NV
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Zip | 89102-2182
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Country | US
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Telephone | 27-430-7362
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | PHILLIP BLEDSOE
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Credential |
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Telephone | 725-577-8636
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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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 | 261QM2500X
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Taxonomy Name | Medical Specialty 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 | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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