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General NPI Number Information
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NPI Number | 1376592519
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Entity Type | Organization
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Legal Business Name | NEVADA EM-I SILVER-HOMANSKY MEDICAL SERVICES PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 05/06/2006
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Last Update Date | 06/12/2017
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Provider Practice Location Address
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Address Line | 620 SHADOW LN
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City | LAS VEGAS
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State | NV
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Zip | 89106-4119
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Country | US
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Telephone | 702-388-4500
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Fax |
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Provider Business Mailing Address
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Address Line | 13737 NOEL ROAD 1600
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City | DALLAS
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State | TX
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Zip | 75240
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Country | US
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Telephone | 469-401-2386
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | EDWIN HOMANSKY
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Credential | MD
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Telephone | 469-401-2386
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician 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 | 363L00000X
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Taxonomy Name | 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 | 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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