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General NPI Number Information
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NPI Number | 1851418354
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Entity Type | Organization
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Legal Business Name | CRITICAL CARE ASSOCIATES INC
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Dates
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Enumeration Date | 03/22/2007
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Last Update Date | 02/18/2009
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Provider Practice Location Address
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Address Line | 794 VEGAS VALLEY DRIVE
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City | LAS VEGAS
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State | NV
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Zip | 89109
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Country | US
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Telephone | 702-734-5050
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Fax | 702-731-9414
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Provider Business Mailing Address
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Address Line | 794 VEGAS VALLEY DR
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City | LAS VEGAS
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State | NV
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Zip | 89109-1529
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Country | US
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Telephone | 702-734-5050
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Fax | 702-731-9414
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | HELEN ANN WILLIAMS
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Credential |
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Telephone | 702-734-5050
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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 | 7303
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 7303
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License Number State | NV
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