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General NPI Number Information
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NPI Number | 1760517635
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Entity Type | Organization
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Legal Business Name | UNIVERSITY MEDICAL CENTER OF SOUTHERN NEVADA
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Dates
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Enumeration Date | 02/22/2007
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 1800 W CHARLESTON BLVD
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City | LAS VEGAS
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State | NV
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Zip | 89102-2329
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Country | US
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Telephone | 702-383-2619
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Fax | 702-383-7335
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Provider Business Mailing Address
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Address Line | 1800 W CHARLESTON BLVD
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City | LAS VEGAS
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State | NV
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Zip | 89102-2329
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Country | US
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Telephone | 702-383-2619
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Fax | 702-383-7335
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Authorized Official
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Title or Position | CEO
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Name | KATHLEEN SILVER
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Credential |
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Telephone | 702-383-3860
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0002X
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Taxonomy Name | Clinic Pharmacy
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License Number | PH0646
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License Number State | NV
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