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General NPI Number Information
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NPI Number | 1356498620
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Entity Type | Organization
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Legal Business Name | PARAGON OUTPATIENT THERAPY SERVICES
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Dates
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Enumeration Date | 01/05/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 1701 N GREEN VALLEY PKWY # 8 SUITE B
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City | HENDERSON
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State | NV
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Zip | 89074-5885
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Country | US
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Telephone | 702-914-2790
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Fax | 702-914-5984
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Provider Business Mailing Address
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Address Line | 1231 E BASIN AVE SUITE 7
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City | PAHRUMP
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State | NV
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Zip | 89060-4601
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Country | US
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Telephone | 775-537-2300
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Fax | 775-537-2345
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Authorized Official
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Title or Position | DIRECTOR OF SERVICES
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Name | SAM W SPEAR
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Credential |
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Telephone | 702-914-2790
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical 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 | 227900000X
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Taxonomy Name | Registered Respiratory Therapist
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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