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General NPI Number Information
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NPI Number | 1871456897
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Entity Type | Organization
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Legal Business Name | PRISM CARE PLLC
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Dates
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Enumeration Date | 12/05/2025
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Last Update Date | 12/05/2025
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Provider Practice Location Address
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Address Line | 750 CORONADO CENTER DR STE 100
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City | HENDERSON
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State | NV
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Zip | 89052-5035
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Country | US
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Telephone | 702-760-7761
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Fax | 702-760-1677
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Provider Business Mailing Address
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Address Line | 750 CORONADO CENTER DR STE 100
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City | HENDERSON
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State | NV
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Zip | 89052-5035
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Country | US
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Telephone | 702-760-7761
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Fax | 702-760-1677
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Authorized Official
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Title or Position | OWNER & MEDICAL DIRECTOR
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Name | NIKA ASISTIO
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Credential | NP
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Telephone | 702-427-8909
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WW0000X
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Taxonomy Name | Wound Care Registered Nurse
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 251F00000X
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Taxonomy Name | Home Infusion Agency
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License Number |
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License Number State |
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Taxonomy #9
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Taxonomy Code | 305S00000X
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Taxonomy Name | Point of Service
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License Number |
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License Number State |
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Taxonomy #10
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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