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General NPI Number Information
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NPI Number | 1306140629
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Entity Type | Individual
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Provider Name | ERIK DUQUENSE BADGETT MS, C.AD., CADC-I
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Gender | Male
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Dates
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Enumeration Date | 12/29/2010
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Last Update Date | 03/03/2011
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Provider Practice Location Address
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Address Line | 730 N EASTERN AVE STE. 110
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City | LAS VEGAS
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State | NV
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Zip | 89101-2883
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Country | US
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Telephone | 702-588-9363
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Fax |
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Provider Business Mailing Address
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Address Line | 1720 REXFORD DR 13B
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City | LAS VEGAS
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State | NV
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Zip | 89104-2442
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Country | US
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Telephone | 702-588-9363
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225400000X
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Taxonomy Name | Rehabilitation Practitioner
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License Number |
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License Number State |
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