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General NPI Number Information
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NPI Number | 1861061723
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Entity Type | Organization
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Legal Business Name | SOUTHERN HILLS MEDICAL CENTER, LLC
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Dates
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Enumeration Date | 06/23/2021
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Last Update Date | 06/23/2021
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Provider Practice Location Address
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Address Line | 10770 LAS VEGAS BOULEVARD SOUTH
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City | LAS VEGAS
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State | NV
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Zip | 89183-5436
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Country | US
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Telephone | 702-916-9002
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Fax | 702-916-9009
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Provider Business Mailing Address
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Address Line | 9300 W SUNSET RD
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City | LAS VEGAS
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State | NV
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Zip | 89148-4844
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Country | US
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Telephone | 702-916-9002
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Fax | 702-916-9009
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Authorized Official
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Title or Position | CFO
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Name | JENNIFER LE
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Credential |
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Telephone | 702-916-9002
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QE0002X
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Taxonomy Name | Emergency Care Clinic/Center
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License Number |
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License Number State |
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