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General NPI Number Information
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NPI Number | 1457654683
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Entity Type | Organization
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Legal Business Name | VANCE STEVEN ALM MD LLC
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Dates
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Enumeration Date | 12/09/2010
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Last Update Date | 12/09/2010
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Provider Practice Location Address
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Address Line | 5975 S LOS ALTOS PKWY SUITE 100
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City | SPARKS
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State | NV
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Zip | 89436-7699
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Country | US
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Telephone | 775-352-3080
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Fax | 775-356-8101
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Provider Business Mailing Address
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Address Line | 5975 S LOS ALTOS PKWY SUITE 100
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City | SPARKS
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State | NV
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Zip | 89436-7699
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Country | US
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Telephone | 775-352-3080
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Fax | 775-356-8101
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Authorized Official
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Title or Position | OWNER / PHYSICIAN
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Name | VANCE S ALM
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Credential | MD
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Telephone | 775-352-3080
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 9845
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License Number State | NV
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