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General NPI Number Information
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NPI Number | 1750195327
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Entity Type | Organization
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Legal Business Name | L&P LYMPHATIC & PELVIC PHYSICAL THERAPY PC
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Dates
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Enumeration Date | 02/04/2025
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Last Update Date | 02/20/2025
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Provider Practice Location Address
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Address Line | 7884 W SAHARA AVE STE 110
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City | LAS VEGAS
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State | NV
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Zip | 89117-1944
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Country | US
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Telephone | 702-766-2624
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Fax | 702-979-1703
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Provider Business Mailing Address
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Address Line | 2001 JADE CREEK ST UNIT 202
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City | LAS VEGAS
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State | NV
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Zip | 89117-6991
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Country | US
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Telephone | 714-679-9083
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Fax | 702-979-1703
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Authorized Official
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Title or Position | CEO
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Name | HEATHER RAE HUTCHINSON
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Credential | DPT
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Telephone | 702-979-1034
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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