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General NPI Number Information
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NPI Number | 1548536345
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Entity Type | Organization
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Legal Business Name | POLLARD CONCIERGE HEALTH & WELLNESS CENTERS, PLLC
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Dates
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Enumeration Date | 03/26/2012
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Last Update Date | 10/19/2020
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Provider Practice Location Address
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Address Line | 8687 W SAHARA AVE STE 200
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City | LAS VEGAS
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State | NV
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Zip | 89117-5869
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Country | US
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Telephone | 702-367-7500
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Fax | 702-367-7502
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Provider Business Mailing Address
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Address Line | 8687 W SAHARA AVE STE 200
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City | LAS VEGAS
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State | NV
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Zip | 89117-5869
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Country | US
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Telephone | 702-367-7500
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Fax | 702-367-7502
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Authorized Official
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Title or Position | OWNER
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Name | DR. ANTHONY POLLARD
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Credential | D.O.
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Telephone | 702-367-7500
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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 | 426
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License Number State | NV
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