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General NPI Number Information
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NPI Number | 1578508065
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Entity Type | Organization
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Legal Business Name | MOUNTAIN REHABILITATION SERVICES POINDEXTER & ASSOCIATES LTD
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Dates
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Enumeration Date | 06/18/2006
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Last Update Date | 01/07/2016
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Provider Practice Location Address
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Address Line | 2641 BOX CANYON DR SUITE B
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City | LAS VEGAS
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State | NV
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Zip | 89128-0419
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Country | US
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Telephone | 702-732-8558
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Fax | 702-732-8568
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Provider Business Mailing Address
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Address Line | PO BOX 34570
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City | LAS VEGAS
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State | NV
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Zip | 89133-4570
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Country | US
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Telephone | 702-732-8558
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Fax | 702-732-8568
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Authorized Official
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Title or Position | OWNER
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Name | DR. CURTIS WAYNE POINDEXTER
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Credential | M.D.
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Telephone | 702-732-8558
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number | 6334
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License Number State | NV
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