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General NPI Number Information
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NPI Number | 1689102139
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Entity Type | Organization
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Legal Business Name | PAHRUMP SENIOR CENTER, INC.
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Dates
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Enumeration Date | 05/29/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 1370 W BASIN AVE
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City | PAHRUMP
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State | NV
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Zip | 89060-4501
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Country | US
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Telephone | 775-727-5008
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Fax | 775-751-6831
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Provider Business Mailing Address
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Address Line | 1370 W BASIN AVE
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City | PAHRUMP
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State | NV
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Zip | 89060-4501
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Country | US
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Telephone | 775-727-5008
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Fax | 775-751-6831
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Authorized Official
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Title or Position | ASSISTANT SITE MANAGER
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Name | GERALD ALLEN NITCHALS
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Credential |
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Telephone | 775-419-5185
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 347B00000X
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Taxonomy Name | Bus
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License Number | XXXXX
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 347B00000X
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Taxonomy Name | Bus
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License Number |
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License Number State | NV
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