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General NPI Number Information
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NPI Number | 1588411433
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Entity Type | Organization
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Legal Business Name | B2 MEDICAL CONSULTING LLC
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Dates
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Enumeration Date | 04/30/2024
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Last Update Date | 05/01/2024
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Provider Practice Location Address
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Address Line | 12300 SANDY PEAK AVE
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City | LAS VEGAS
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State | NV
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Zip | 89138-1116
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Country | US
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Telephone | 702-606-2072
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Fax |
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Provider Business Mailing Address
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Address Line | 11700 W CHARLESTON BLVD
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City | LAS VEGAS
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State | NV
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Zip | 89135-1573
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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 | OWNER
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Name | BEVERLY THIELKE
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Credential | NP
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Telephone | 702-606-2072
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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