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General NPI Number Information
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NPI Number | 1578421665
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Entity Type | Organization
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Legal Business Name | REYZELMAN NEVADA PLLC
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Dates
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Enumeration Date | 01/15/2026
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Last Update Date | 01/15/2026
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Provider Practice Location Address
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Address Line | 9940 W FLAMINGO RD STE 101
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City | LAS VEGAS
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State | NV
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Zip | 89147-8553
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Country | US
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Telephone | 702-948-0613
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Fax | 702-605-5880
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Provider Business Mailing Address
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Address Line | PO BOX 845038
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City | LOS ANGELES
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State | CA
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Zip | 90084-5038
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Country | US
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Telephone | 702-948-0613
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Fax | 224-220-9743
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Authorized Official
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Title or Position | CHIEF MEDICAL OFFICER
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Name | ALEXANDER REYZELMAN
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Credential | DPM
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Telephone | 415-292-0638
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number |
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License Number State |
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