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General NPI Number Information
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NPI Number | 1710546916
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Entity Type | Organization
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Legal Business Name | SPM INC
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Dates
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Enumeration Date | 06/11/2019
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Last Update Date | 03/05/2025
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Provider Practice Location Address
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Address Line | 1180 N TOWN CENTER DR STE 100
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City | LAS VEGAS
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State | NV
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Zip | 89144-6308
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Country | US
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Telephone | 702-202-2060
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Fax |
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Provider Business Mailing Address
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Address Line | 1546 SHADY ELM ST
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City | LAS VEGAS
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State | NV
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Zip | 89135-1024
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Country | US
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Telephone | 201-360-9485
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. SARAV PATEL
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Credential | MD
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Telephone | 201-360-9485
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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