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General NPI Number Information
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NPI Number | 1205128261
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Entity Type | Organization
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Legal Business Name | AMADOR MEDICAL, LLC
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Dates
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Enumeration Date | 05/10/2011
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Last Update Date | 05/19/2021
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Provider Practice Location Address
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Address Line | 4325 DEAN MARTIN DR. SUITE 340
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City | LAS VEGAS
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State | NV
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Zip | 89103
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Country | US
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Telephone | 702-724-1734
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Fax | 702-654-6510
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Provider Business Mailing Address
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Address Line | 4325 DEAN MARTIN DR STE 340
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City | LAS VEGAS
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State | NV
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Zip | 89103-4168
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Country | US
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Telephone | 702-724-1734
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Fax | 702-834-8490
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Authorized Official
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Title or Position | OWNER
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Name | DONALD AMADOR
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Credential |
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Telephone | 702-462-2247
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | H13003823153857
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License Number State | NV
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