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General NPI Number Information
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NPI Number | 1730041617
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Entity Type | Organization
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Legal Business Name | NNP SERVICES PROFESSIONAL LLC
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Dates
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Enumeration Date | 11/28/2025
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Last Update Date | 11/28/2025
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Provider Practice Location Address
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Address Line | 1232 ALFORD CREEK CT
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City | NORTH LAS VEGAS
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State | NV
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Zip | 89031-0788
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Country | US
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Telephone | 702-816-0409
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Fax |
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Provider Business Mailing Address
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Address Line | 1232 ALFORD CREEK CT
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City | NORTH LAS VEGAS
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State | NV
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Zip | 89031-0788
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Country | US
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Telephone | 702-816-0409
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Fax |
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Authorized Official
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Title or Position | HEALTHCARE PROVIDER/MANAGER/MEMBER
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Name | DR. NICHOLAS NALIC PIERIDES JR.
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Credential | OTD, OTR/L
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Telephone | 702-816-0409
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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