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General NPI Number Information
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NPI Number | 1225807423
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Entity Type | Individual
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Provider Name | ASHLEY MCKEEVER RN
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Gender | Male
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Dates
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Enumeration Date | 12/28/2023
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Last Update Date | 12/28/2023
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Provider Practice Location Address
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Address Line | 4040 S EASTERN AVE STE 300
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City | LAS VEGAS
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State | NV
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Zip | 89119-0854
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Country | US
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Telephone | 702-463-0300
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Fax | 702-463-0301
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Provider Business Mailing Address
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Address Line | 370 INFLECTION ST
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City | HENDERSON
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State | NV
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Zip | 89011-5416
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Country | US
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Telephone | 702-232-3540
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WH0200X
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Taxonomy Name | Home Health Registered Nurse
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License Number | 72366
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License Number State | NV
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