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General NPI Number Information
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NPI Number | 1881331528
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Entity Type | Organization
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Legal Business Name | MCQ LYMPHCARE
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Dates
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Enumeration Date | 05/15/2022
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Last Update Date | 10/14/2025
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Provider Practice Location Address
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Address Line | 105 N PECOS RD STE 105
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City | HENDERSON
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State | NV
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Zip | 89074-1956
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Country | US
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Telephone | 702-701-0057
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Fax | 702-701-0075
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Provider Business Mailing Address
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Address Line | 5715 W ALEXANDER RD STE 155
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City | LAS VEGAS
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State | NV
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Zip | 89130-2807
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | THERAPIST
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Name | MISS CHLOE PEYTON
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Credential |
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Telephone | 702-701-0057
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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