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General NPI Number Information
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NPI Number | 1629730544
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Entity Type | Organization
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Legal Business Name | RACEAR
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Dates
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Enumeration Date | 10/07/2021
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Last Update Date | 10/07/2021
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Provider Practice Location Address
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Address Line | 41 N NEVADA HIGHWAY 160
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City | PAHRUMP
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State | NV
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Zip | 89060-4038
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Country | US
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Telephone | 775-253-8020
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Fax |
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Provider Business Mailing Address
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Address Line | 8935 S PECOS RD STE 21A
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City | HENDERSON
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State | NV
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Zip | 89074-7155
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Country | US
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Telephone | 702-456-1110
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CYNTHEA CLARK
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Credential |
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Telephone | 702-845-9599
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0700X
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Taxonomy Name | Hearing and Speech Clinic/Center
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License Number |
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License Number State |
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