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General NPI Number Information
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NPI Number | 1427960517
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Entity Type | Organization
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Legal Business Name | PHARMACIST POWERED PREVENTION LLC
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Dates
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Enumeration Date | 09/22/2026
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Last Update Date | 09/22/2026
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Provider Practice Location Address
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Address Line | 5940 S RAINBOW BLVD
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City | LAS VEGAS
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State | NV
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Zip | 89118-2540
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Country | US
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Telephone | 725-777-4611
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Fax | 725-330-9777
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Provider Business Mailing Address
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Address Line | 5940 S RAINBOW BLVD # 1261
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City | LAS VEGAS
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State | NV
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Zip | 89118-2540
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JIMMY KIMBER
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Credential | PHARMD
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Telephone | 702-907-0301
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number |
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License Number State |
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