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General NPI Number Information
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NPI Number | 1699608489
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Entity Type | Organization
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Legal Business Name | NEIGHBORHOOD CLINIC NV LLC
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Dates
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Enumeration Date | 06/03/2026
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Last Update Date | 06/03/2026
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Provider Practice Location Address
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Address Line | 1455 W CHANDLER BLVD STE B11
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City | CHANDLER
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State | AZ
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Zip | 85224-6128
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Country | US
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Telephone | 480-935-7949
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Fax |
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Provider Business Mailing Address
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Address Line | 8488 ROZITA LEE AVE
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City | LAS VEGAS
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State | NV
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Zip | 89113-4771
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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 | PRESIDENT
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Name | TRENT HOFMOCKEL
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Credential |
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Telephone | 702-425-8105
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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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