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General NPI Number Information
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NPI Number | 1245174218
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Entity Type | Organization
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Legal Business Name | MEDICAL ARTS GROVES INC
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Dates
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Enumeration Date | 04/17/2026
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Last Update Date | 04/17/2026
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Provider Practice Location Address
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Address Line | 330 E WARM SPRINGS RD STE 100
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City | LAS VEGAS
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State | NV
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Zip | 89119-4281
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Country | US
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Telephone | 877-416-7317
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Fax | 877-416-7317
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Provider Business Mailing Address
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Address Line | 330 E WARM SPRINGS RD STE 100
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City | LAS VEGAS
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State | NV
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Zip | 89119-4281
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Country | US
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Telephone | 877-416-7317
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Fax | 877-416-7317
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. JAMEY RICHARDSON
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Credential | DR
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Telephone | 877-416-7317
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 364SH0200X
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Taxonomy Name | Home Health Clinical Nurse Specialist
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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 | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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Taxonomy #4
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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 |
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Taxonomy #5
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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