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General NPI Number Information
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NPI Number | 1699644484
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Entity Type | Organization
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Legal Business Name | NEW WAVE BIOLOGICS - BIGELOW PC
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Dates
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Enumeration Date | 10/31/2025
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Last Update Date | 10/31/2025
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Provider Practice Location Address
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Address Line | 8905 W POST RD STE 110
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City | LAS VEGAS
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State | NV
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Zip | 89148-2429
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Country | US
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Telephone | 725-726-3805
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Fax | 261-203-4688
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Provider Business Mailing Address
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Address Line | 8635 W SAHARA AVE # 3145
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City | LAS VEGAS
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State | NV
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Zip | 89117-5858
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Country | US
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Telephone | 725-726-3805
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Fax |
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | ELIZABETH BIGELOW
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Credential |
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Telephone | 725-726-3805
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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