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General NPI Number Information
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NPI Number | 1255769139
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Entity Type | Organization
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Legal Business Name | PROTO SCRIPT PHARMACUETICALS CORP
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Dates
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Enumeration Date | 10/31/2013
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Last Update Date | 10/23/2014
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Provider Practice Location Address
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Address Line | 3863 S VALLEY VIEW BLVD SUITE 11
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City | LAS VEGAS
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State | NV
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Zip | 89103-2910
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Country | US
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Telephone | 702-366-0728
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Fax | 702-723-4969
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Provider Business Mailing Address
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Address Line | 3863 S VALLEY VIEW BLVD SUITE 11
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City | LAS VEGAS
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State | NV
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Zip | 89103-2910
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Country | US
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Telephone | 702-366-0728
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Fax | 702-723-4969
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Authorized Official
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Title or Position | GENERAL MANAGER
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Name | TERRY MOFFIT
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Credential |
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Telephone | 855-476-7679
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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 | CA
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