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General NPI Number Information
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NPI Number | 1255105771
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Entity Type | Organization
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Legal Business Name | WEKARE HEALTH MANAGEMENT
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Dates
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Enumeration Date | 11/15/2023
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Last Update Date | 11/15/2023
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Provider Practice Location Address
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Address Line | 3215 W CHARLESTON BLVD STE 110
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City | LAS VEGAS
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State | NV
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Zip | 89102-2182
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Country | US
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Telephone | 725-222-8636
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Fax | 702-935-7624
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Provider Business Mailing Address
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Address Line | 3215 W CHARLESTON BLVD STE 110
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City | LAS VEGAS
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State | NV
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Zip | 89102-2182
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Country | US
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Telephone | 725-222-8636
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Fax | 702-935-7624
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Authorized Official
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Title or Position | CEO
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Name | PHILLIP BLEDSOE
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Credential |
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Telephone | 725-222-8636
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 373H00000X
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Taxonomy Name | Day Training/Habilitation Specialist
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License Number |
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License Number State |
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