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General NPI Number Information
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NPI Number | 1215717483
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Entity Type | Organization
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Legal Business Name | REYNOLDS MD AND ASSOCIATES PERIOPERATIVE ANESTHESIA CARE, PLLC
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Dates
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Enumeration Date | 10/04/2023
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Last Update Date | 01/14/2025
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Provider Practice Location Address
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Address Line | 3650 N RANCHO DR STE 110
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City | LAS VEGAS
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State | NV
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Zip | 89130-3151
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Country | US
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Telephone | 702-917-3497
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Fax |
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Provider Business Mailing Address
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Address Line | 6761 PEACH PIE AVE
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City | LAS VEGAS
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State | NV
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Zip | 89131-3702
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Country | US
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Telephone | 702-917-3497
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | DR. PAUL REYNOLDS
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Credential | MD
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Telephone | 702-917-3497
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 #2
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Taxonomy Code | 207LA0401X
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Taxonomy Name | Addiction Medicine (Anesthesiology) Physician
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License Number |
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License Number State |
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