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General NPI Number Information
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NPI Number | 1306042841
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Entity Type | Organization
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Legal Business Name | CHILDREN'S SHOE WORLD
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Dates
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Enumeration Date | 06/22/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1924 E SAHARA AVE
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City | LAS VEGAS
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State | NV
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Zip | 89104-3843
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Country | US
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Telephone | 702-457-5485
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Fax | 702-457-5516
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Provider Business Mailing Address
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Address Line | 1924 E SAHARA AVE
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City | LAS VEGAS
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State | NV
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Zip | 89104-3843
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Country | US
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Telephone | 702-457-5485
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Fax | 702-457-5516
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Authorized Official
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Title or Position | OWNER
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Name | MR. CESAR A GALINDO SR.
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Credential |
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Telephone | 70245754895
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336S0011X
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Taxonomy Name | Specialty Pharmacy
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License Number | MP00099
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License Number State | NV
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