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General NPI Number Information
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NPI Number | 1477356103
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Entity Type | Organization
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Legal Business Name | DIVAS CULTURE LIMITED CO
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Dates
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Enumeration Date | 03/28/2025
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Last Update Date | 03/28/2025
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Provider Practice Location Address
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Address Line | 1055 E FLAMINGO RD APT 918
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City | LAS VEGAS
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State | NV
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Zip | 89119-7446
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Country | US
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Telephone | 725-567-1683
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Fax |
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Provider Business Mailing Address
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Address Line | 6881 W CHARLESTON BLVD STE A5044
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City | LAS VEGAS
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State | NV
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Zip | 89117-1673
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Country | US
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Telephone | 725-567-1683
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Fax |
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Authorized Official
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Title or Position | CRANIAL PROSTHESIS SPECIALIST
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Name | CRISTLE RAMEY
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Credential |
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Telephone | 725-567-1683
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number |
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License Number State |
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