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General NPI Number Information
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NPI Number | 1639820731
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Entity Type | Organization
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Legal Business Name | ADVANCED MEDICAL INNOVATIONS LLC
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Dates
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Enumeration Date | 01/11/2022
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Last Update Date | 01/11/2022
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Provider Practice Location Address
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Address Line | 9570 S MCCARRAN BLVD STE 108
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City | RENO
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State | NV
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Zip | 89523-9202
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Country | US
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Telephone | 775-499-5121
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Fax | 775-746-2566
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Provider Business Mailing Address
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Address Line | 9570 S MCCARRAN BLVD STE 108
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City | RENO
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State | NV
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Zip | 89523-9202
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Country | US
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Telephone | 775-499-5121
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Fax | 775-746-2566
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Authorized Official
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Title or Position | PRESIDENT
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Name | MELISSA PEROTTI
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Credential | DC
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Telephone | 775-843-3782
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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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