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General NPI Number Information
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NPI Number | 1346749215
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Entity Type | Organization
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Legal Business Name | EMERGENCY MEDICINE LAS VEGAS STAFFING PLLC
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Dates
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Enumeration Date | 02/06/2018
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Last Update Date | 02/06/2018
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Provider Practice Location Address
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Address Line | 150 E HARMON AVE
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City | LAS VEGAS
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State | NV
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Zip | 89109-4533
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Country | US
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Telephone | 936-525-9216
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Fax |
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Provider Business Mailing Address
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Address Line | 6038 FM 1374 RD
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City | NEW WAVERLY
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State | TX
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Zip | 77358-3926
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGING PARTNER
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Name | DR. PATRICIA SHORT
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Credential | MD
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Telephone | 936-525-9216
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number |
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License Number State |
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