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General NPI Number Information
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NPI Number | 1598626327
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Entity Type | Organization
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Legal Business Name | SHM MANAGEMENT, LLC
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Dates
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Enumeration Date | 11/20/2025
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Last Update Date | 11/20/2025
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Provider Practice Location Address
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Address Line | 6670 S TENAYA WAY STE 190
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City | LAS VEGAS
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State | NV
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Zip | 89113-1964
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Country | US
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Telephone | 702-329-4115
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Fax | 702-329-4115
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Provider Business Mailing Address
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Address Line | 5649 FAIRMEADE WAY
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City | LAS VEGAS
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State | NV
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Zip | 89135-4040
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Country | US
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Telephone | 702-329-4115
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Fax | 702-329-4115
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Authorized Official
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Title or Position | OWNER/PRACTITIONER
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Name | DR. VIRGINIA HARDIE
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Credential | MD
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Telephone | 402-658-3191
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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Taxonomy #3
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Taxonomy Code | 207XX0004X
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Taxonomy Name | Orthopaedic Foot and Ankle Surgery Physician
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License Number |
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Taxonomy #4
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Taxonomy Code | 207XX0801X
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Taxonomy Name | Orthopaedic Trauma Physician
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License Number |
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Taxonomy #5
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Taxonomy Code | 2081N0008X
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Taxonomy Name | Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number |
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License Number State |
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