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General NPI Number Information
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NPI Number | 1518837244
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Entity Type | Organization
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Legal Business Name | HEART WELL REHABILITATION
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Dates
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Enumeration Date | 11/07/2025
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Last Update Date | 02/06/2026
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Provider Practice Location Address
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Address Line | 2475 W HORIZON RIDGE PKWY STE 100
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City | HENDERSON
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State | NV
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Zip | 89052-5946
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Country | US
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Telephone | 877-478-9355
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Fax |
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Provider Business Mailing Address
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Address Line | 2475 W HORIZON RIDGE PKWY STE 100
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City | HENDERSON
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State | NV
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Zip | 89052-5946
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Country | US
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Telephone | 877-478-9355
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | VEA EVANGELISTA
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Credential | PT
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Telephone | 646-639-3411
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2251C2600X
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Taxonomy Name | Cardiopulmonary Physical Therapist
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License Number |
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License Number State |
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