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General NPI Number Information
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NPI Number | 1396515250
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Entity Type | Organization
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Legal Business Name | PAHRUMP COMMUNITY HEALTH CENTER
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Dates
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Enumeration Date | 01/03/2024
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Last Update Date | 09/12/2025
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Provider Practice Location Address
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Address Line | 136 S LOLA LN
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City | PAHRUMP
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State | NV
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Zip | 89048-0898
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Country | US
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Telephone | 928-846-7171
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Fax |
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Provider Business Mailing Address
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Address Line | 2027 DODGE ST STE 500
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City | OMAHA
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State | NE
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Zip | 68102-1231
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Country | US
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Telephone | 928-938-4325
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Fax |
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Authorized Official
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Title or Position | CNO
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Name | COURTNEY STANSBURY
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Credential |
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Telephone | 928-938-4325
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number |
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License Number State |
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