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General NPI Number Information
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NPI Number | 1336553171
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Entity Type | Organization
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Legal Business Name | DESERT PULMONARY REHABILITATION AND DIAGNOSTICS LLC
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Dates
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Enumeration Date | 06/19/2014
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Last Update Date | 08/27/2024
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Provider Practice Location Address
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Address Line | 2675 S JONES BLVD STE 113
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City | LAS VEGAS
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State | NV
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Zip | 89146-5607
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Country | US
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Telephone | 702-665-4156
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Fax | 702-749-3184
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Provider Business Mailing Address
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Address Line | 2675 S JONES BLVD STE 113
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City | LAS VEGAS
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State | NV
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Zip | 89146-5607
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Country | US
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Telephone | 702-665-4156
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Fax | 702-749-3184
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Authorized Official
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Title or Position | OWNER
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Name | JOHN THAO
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Credential | RRT-SDS, BSN, RN
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Telephone | 702-665-4156
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2279P1004X
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Taxonomy Name | Pulmonary Diagnostics Registered Respiratory Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2279P1005X
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Taxonomy Name | Pulmonary Rehabilitation Registered Respiratory Therapist
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License Number |
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License Number State |
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