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General NPI Number Information
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NPI Number | 1639763667
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Entity Type | Organization
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Legal Business Name | LPD2 LIMITED
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Dates
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Enumeration Date | 02/20/2021
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Last Update Date | 02/20/2021
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Provider Practice Location Address
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Address Line | 170 S GREEN VALLEY PKWY
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City | HENDERSON
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State | NV
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Zip | 89012-3132
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Country | US
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Telephone | 702-827-9979
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Fax |
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Provider Business Mailing Address
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Address Line | 170 S GREEN VALLEY PKWY
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City | HENDERSON
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State | NV
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Zip | 89012-3132
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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 | FOUNDER
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Name | MR. DANTE TOLBERT
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Credential |
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Telephone | 702-827-9979
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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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 | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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