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General NPI Number Information
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NPI Number | 1255430807
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Entity Type | Organization
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Legal Business Name | GREGORY T SHOLEFF MD CH
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Dates
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Enumeration Date | 09/21/2006
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Last Update Date | 12/12/2007
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Provider Practice Location Address
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Address Line | 1700 N BUFFALO DR STE 100
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City | LAS VEGAS
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State | NV
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Zip | 89128-2677
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Country | US
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Telephone | 702-649-2625
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Fax | 702-233-9786
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Provider Business Mailing Address
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Address Line | 1700 N BUFFALO DR STE 100
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City | LAS VEGAS
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State | NV
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Zip | 89128-2677
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Country | US
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Telephone | 702-649-2625
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Fax | 702-233-9786
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Authorized Official
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Title or Position | M.D
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Name | GREGORY T SHOLEFF
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Credential |
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Telephone | 702-649-2625
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 10101
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License Number State | NV
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