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General NPI Number Information
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NPI Number | 1811703887
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Entity Type | Organization
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Legal Business Name | ADVANCED MEDICAL AND REHAB OF LV, INC.
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Dates
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Enumeration Date | 12/05/2024
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Last Update Date | 12/05/2024
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Provider Practice Location Address
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Address Line | 9205 W RUSSELL RD STE 380
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City | LAS VEGAS
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State | NV
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Zip | 89148-1467
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Country | US
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Telephone | 310-413-6034
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Fax |
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Provider Business Mailing Address
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Address Line | 9205 W RUSSELL RD STE 380
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City | LAS VEGAS
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State | NV
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Zip | 89148-1467
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Country | US
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Telephone | 310-413-6034
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. KARI ANN HAWKINS
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Credential |
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Telephone | 310-413-6034
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2081S0010X
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Taxonomy Name | Sports Medicine (Physical Medicine & Rehabilitation) Physician
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License Number |
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License Number State |
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