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General NPI Number Information
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NPI Number | 1720635535
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Entity Type | Organization
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Legal Business Name | USA RESOURCES
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Dates
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Enumeration Date | 08/26/2019
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Last Update Date | 12/08/2020
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Provider Practice Location Address
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Address Line | 2701 N TENAYA WAY STE 230
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City | LAS VEGAS
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State | NV
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Zip | 89128-0480
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Country | US
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Telephone | 702-248-3668
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Fax |
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Provider Business Mailing Address
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Address Line | 6935 ALIANTE PKWY STE 104-227
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City | NORTH LAS VEGAS
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State | NV
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Zip | 89084-5818
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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 | AMIR SHALEV
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Credential | MD
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Telephone | 702-248-3668
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number |
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License Number State |
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