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General NPI Number Information
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NPI Number | 1609913094
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Entity Type | Organization
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Legal Business Name | NAPHCARE
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Dates
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Enumeration Date | 02/01/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 950 22ND ST N SUITE 825
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City | BIRMINGHAM
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State | AL
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Zip | 35203-1126
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Country | US
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Telephone | 205-458-8596
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Fax |
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Provider Business Mailing Address
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Address Line | 11320 ALTURA VISTA DR
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City | LAS VEGAS
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State | NV
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Zip | 89138-7575
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Country | US
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Telephone | 702-798-0744
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Fax |
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Authorized Official
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Title or Position | CONTROLLER
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Name | MRS. GENIA HASTINGS
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Credential |
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Telephone | 205-458-8596
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | NV10919
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License Number State | NV
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