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General NPI Number Information
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NPI Number | 1629946751
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Entity Type | Organization
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Legal Business Name | PEDIATRIC COLLECTIVE LLC
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Dates
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Enumeration Date | 10/29/2025
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Last Update Date | 10/29/2025
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Provider Practice Location Address
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Address Line | 6675 S TENAYA WAY STE 200 SUITE 200 OFFICE 18
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City | LAS VEGAS
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State | NV
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Zip | 89113-1932
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Country | US
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Telephone | 702-814-0711
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Fax | 702-745-1972
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Provider Business Mailing Address
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Address Line | 6675 S TENAYA WAY STE 200
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City | LAS VEGAS
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State | NV
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Zip | 89113-1932
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Country | US
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Telephone | 702-814-0711
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Fax | 702-745-1972
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Authorized Official
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Title or Position | OWNER
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Name | ANDREA SINGER
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Credential | APRN
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Telephone | 702-814-0711
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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