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General NPI Number Information
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NPI Number | 1255364790
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Entity Type | Organization
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Legal Business Name | ARISE MEDICAL, INC.
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Dates
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Enumeration Date | 07/08/2006
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Last Update Date | 06/13/2008
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Provider Practice Location Address
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Address Line | 4320 W RENO AVE STE C
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City | LAS VEGAS
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State | NV
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Zip | 89118-1617
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Country | US
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Telephone | 702-256-6379
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Fax | 702-920-8158
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Provider Business Mailing Address
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Address Line | PO BOX 34180
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City | LAS VEGAS
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State | NV
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Zip | 89133-4180
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Country | US
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Telephone | 702-256-6379
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Fax | 702-920-8158
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Authorized Official
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Title or Position | SECRETARY
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Name | MR. TOM WALKER
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Credential |
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Telephone | 702-256-6379
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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