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General NPI Number Information
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NPI Number | 1245825447
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Entity Type | Organization
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Legal Business Name | REGIONS HEALTHCARE SERVICES LLC
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Dates
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Enumeration Date | 03/09/2021
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Last Update Date | 03/09/2021
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Provider Practice Location Address
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Address Line | 400 S 4TH ST SUITE 500
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City | LAS VEGAS
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State | NV
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Zip | 89101
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Country | US
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Telephone | 847-324-9728
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Fax |
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Provider Business Mailing Address
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Address Line | 304 S JONES BLVD # 5749
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City | LAS VEGAS
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State | NV
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Zip | 89107-2623
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Country | US
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Telephone | 847-324-9728
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | JAMES V VILLAR
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Credential |
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Telephone | 847-324-9728
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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