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General NPI Number Information
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NPI Number | 1265614424
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Entity Type | Organization
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Legal Business Name | ONE SANTA FE CORPORATION
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Dates
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Enumeration Date | 11/29/2007
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Last Update Date | 11/29/2007
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Provider Practice Location Address
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Address Line | 4240 SIMMONS ST SUITE A
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City | NORTH LAS VEGAS
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State | NV
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Zip | 89032-0766
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Country | US
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Telephone | 702-575-3787
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Fax | 702-449-7906
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Provider Business Mailing Address
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Address Line | 10087 CANYON HILLS AVE
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City | LAS VEGAS
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State | NV
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Zip | 89148-7646
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Country | US
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Telephone | 702-798-3008
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Fax | 702-869-4763
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Authorized Official
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Title or Position | OWNER
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Name | DR. MARIA R CARMINA ARRASITA
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Credential | MD
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Telephone | 702-798-3008
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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