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General NPI Number Information
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NPI Number | 1750953089
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Entity Type | Organization
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Legal Business Name | VEGAS VISITING PHYSICIANS ASSOCIATES
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Dates
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Enumeration Date | 07/15/2021
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Last Update Date | 11/07/2023
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Provider Practice Location Address
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Address Line | 5495 S RAINBOW BLVD STE 202
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City | LAS VEGAS
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State | NV
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Zip | 89118-1873
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Country | US
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Telephone | 775-990-8441
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Fax |
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Provider Business Mailing Address
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Address Line | 47 E AGATE AVE UNIT 205
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City | LAS VEGAS
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State | NV
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Zip | 89123-6060
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Country | US
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Telephone | 702-556-3160
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | ASHLEY A. SUAREZ
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Credential | PA
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Telephone | 702-556-3160
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2084B0040X
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Taxonomy Name | Behavioral Neurology & Neuropsychiatry Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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