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NPI 1225932700

NPI 1225932700 : TASHA CHEMPLAVIL LLC : LAS VEGAS, NV

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General NPI Number Information
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    NPI Number           |    1225932700
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    Entity Type          |    Organization 
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    Legal Business Name  |    TASHA CHEMPLAVIL LLC 
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Dates
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    Enumeration Date     |    10/07/2026
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    Last Update Date     |    10/07/2026
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Provider Practice Location Address
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    Address Line         |    6624 ANGELINA ST 
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    City                 |    LAS VEGAS
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    State                |    NV
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    Zip                  |    89120-2920
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    Country              |    US
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    Telephone            |    702-339-5475
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    Fax                  |    877-741-9750
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Provider Business Mailing Address
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    Address Line         |    6624 ANGELINA ST 
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    City                 |    LAS VEGAS
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    State                |    NV
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    Zip                  |    89120-2920
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    Country              |    US
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    Telephone            |    702-339-5475
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    Fax                  |    877-741-9750
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     TASHA  CHEMPLAVIL 
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    Credential           |    M.S., CCC-SLP
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    Telephone            |    702-339-5475
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    224Z00000X
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    Taxonomy Name        |    Occupational Therapy Assistant
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    License Number       |    
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    License Number State |    NULL
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Taxonomy #2
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    Taxonomy Code        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    
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    License Number State |    NULL
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Taxonomy #3
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    Taxonomy Code        |    2251P0200X
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    Taxonomy Name        |    Pediatric Physical Therapist
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    License Number       |    
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    License Number State |    NULL
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Taxonomy #4
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    Taxonomy Code        |    225200000X
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    Taxonomy Name        |    Physical Therapy Assistant
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    License Number       |    
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    License Number State |    NULL
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Taxonomy #5
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    Taxonomy Code        |    225X00000X
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    Taxonomy Name        |    Occupational Therapist
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    License Number       |    
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    License Number State |    NULL
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Taxonomy #6
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    Taxonomy Code        |    235Z00000X
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    Taxonomy Name        |    Speech-Language Pathologist
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    License Number       |    
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    License Number State |    NULL
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