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General NPI Number Information
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NPI Number | 1346670981
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Entity Type | Organization
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Legal Business Name | VANGUARD HOSPITALISTS
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Dates
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Enumeration Date | 11/18/2013
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Last Update Date | 11/18/2013
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Provider Practice Location Address
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Address Line | 500 N RAINBOW BLVD 300
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City | LAS VEGAS
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State | NV
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Zip | 89107-1082
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Country | US
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Telephone | 702-728-4899
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Fax | 702-446-6385
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Provider Business Mailing Address
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Address Line | 500 N RAINBOW BLVD 300
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City | LAS VEGAS
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State | NV
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Zip | 89107-1082
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Country | US
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Telephone | 702-728-4899
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Fax | 702-446-6385
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Authorized Official
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Title or Position | BOARD OF DIRECTORS
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Name | KIM KOZLOWSKI
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Credential | RN
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Telephone | 702-728-4899
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number |
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License Number State |
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