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General NPI Number Information
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NPI Number | 1558225631
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Entity Type | Organization
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Legal Business Name | PREMISE HEALTH OF NEVADA MEDICAL HINITT PC
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Dates
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Enumeration Date | 12/12/2025
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Last Update Date | 12/12/2025
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Provider Practice Location Address
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Address Line | 2510 WIGWAM PKWY STE 106
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City | HENDERSON
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State | NV
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Zip | 89074-7115
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Country | US
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Telephone | 702-268-8001
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Fax | 702-446-7607
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Provider Business Mailing Address
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Address Line | 5500 MARYLAND WAY STE 120
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City | BRENTWOOD
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State | TN
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Zip | 37027-4993
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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 | PRESIDENT
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Name | STEVEN ASHLEY HINITT
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Credential |
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Telephone | 210-563-5077
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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