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General NPI Number Information
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NPI Number | 1356164917
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Entity Type | Organization
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Legal Business Name | ADVANCED SURGICAL SPECIALISTS, PLLC
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Dates
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Enumeration Date | 11/04/2024
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Last Update Date | 06/26/2025
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Provider Practice Location Address
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Address Line | 7848 W SAHARA AVE
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City | LAS VEGAS
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State | NV
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Zip | 89117-1944
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Country | US
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Telephone | 702-321-0847
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Fax | 702-745-2115
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Provider Business Mailing Address
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Address Line | 5940 S RAINBOW BLVD # 895
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City | LAS VEGAS
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State | NV
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Zip | 89118-2506
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Country | US
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Telephone | 702-321-0847
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Fax | 855-710-6303
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Authorized Official
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Title or Position | OWNER/NURSE PRACTITIONER
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Name | ALECIA DANIELLE GRIMES
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Credential | DNP, ARPN, AGACNP-BC
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Telephone | 702-321-0847
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WR0006X
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Taxonomy Name | Registered Nurse First Assistant
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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 | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number |
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License Number State |
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