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General NPI Number Information
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NPI Number | 1841178597
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Entity Type | Organization
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Legal Business Name | IMI MANAGEMENT LLC
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Dates
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Enumeration Date | 08/21/2025
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Last Update Date | 10/02/2025
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Provider Practice Location Address
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Address Line | 6501 VEGAS DR APT 2088
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City | LAS VEGAS
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State | NV
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Zip | 89108-7763
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Country | US
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Telephone | 702-842-0542
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Fax | 702-819-0563
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Provider Business Mailing Address
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Address Line | 1050 E FLAMINGO RD STE 107
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City | LAS VEGAS
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State | NV
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Zip | 89119-7429
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Country | US
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Telephone | 702-842-0542
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Fax | 702-819-0563
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Authorized Official
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Title or Position | CEO
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Name | ERICA JOUBERT
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Credential | CHW I
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Telephone | 725-268-8701
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number |
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License Number State |
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