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General NPI Number Information
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NPI Number | 1891205340
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Entity Type | Organization
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Legal Business Name | NEVADA TMS LLC
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Dates
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Enumeration Date | 10/10/2017
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Last Update Date | 01/02/2018
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Provider Practice Location Address
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Address Line | 7391 PRAIRIE FALCON RD STE 150B
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City | LAS VEGAS
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State | NV
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Zip | 89128-0815
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Country | US
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Telephone | 702-476-6300
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Fax | 702-476-6575
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Provider Business Mailing Address
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Address Line | PO BOX 370399
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City | LAS VEGAS
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State | NV
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Zip | 89137-0399
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Country | US
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Telephone | 702-476-6300
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Fax | 702-476-6575
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Authorized Official
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Title or Position | COORDINATOR
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Name | RAYMA CHARLENE WRIGHT
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Credential |
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Telephone | 702-463-9193
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 10718
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number |
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License Number State |
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