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General NPI Number Information
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NPI Number | 1346868387
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Entity Type | Organization
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Legal Business Name | TELEHEALTH CLINICAL EVALS, LLC
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Dates
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Enumeration Date | 07/07/2020
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Last Update Date | 08/04/2025
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Provider Practice Location Address
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Address Line | 9505 HILLWOOD DR
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City | LAS VEGAS
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State | NV
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Zip | 89134-0506
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Country | US
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Telephone | 725-209-3053
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Fax |
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Provider Business Mailing Address
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Address Line | 9505 HILLWOOD DR
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City | LAS VEGAS
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State | NV
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Zip | 89134-0506
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Country | US
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Telephone | 725-209-3053
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE VICE PRESIDENT
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Name | RANDALL LEE HAUPT
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Credential |
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Telephone | 725-209-3053
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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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 | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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