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General NPI Number Information
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NPI Number | 1639943319
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Entity Type | Organization
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Legal Business Name | EDS-I HOMANSKY PRACTICES OF NEVADA PC
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Dates
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Enumeration Date | 11/13/2023
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Last Update Date | 08/05/2025
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Provider Practice Location Address
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Address Line | 1041 STEAMBOAT PKWY
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City | RENO
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State | NV
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Zip | 89521
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Country | US
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Telephone | 954-939-5000
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Fax | 877-250-6889
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Provider Business Mailing Address
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Address Line | PO BOX 99109
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City | LAS VEGAS
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State | NV
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Zip | 89193-9109
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Country | US
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Telephone | 954-939-5000
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Fax | 877-250-6889
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | CHRISTOPHER KENNEDY
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Credential |
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Telephone | 207-807-9009
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number |
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License Number State |
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