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NPI 1891941266

NPI 1891941266 : VASCULAR ASSESSMENT SPECIALTIES, INC. : HENDERSON, NV

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General NPI Number Information
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    NPI Number           |    1891941266
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    Entity Type          |    Organization 
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    Legal Business Name  |    VASCULAR ASSESSMENT SPECIALTIES, INC. 
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Dates
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    Enumeration Date     |    08/17/2008
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    Last Update Date     |    08/17/2008
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Provider Practice Location Address
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    Address Line         |    3001 SAINT ROSE PKWY 
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    City                 |    HENDERSON
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    State                |    NV
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    Zip                  |    89052-3839
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    Country              |    US
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    Telephone            |    702-616-5000
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    Fax                  |    702-616-5120
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Provider Business Mailing Address
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    Address Line         |    6357 LA PALMA PKWY 
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    City                 |    LAS VEGAS
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    State                |    NV
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    Zip                  |    89118-1407
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    Country              |    US
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    Telephone            |    702-480-8849
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    Fax                  |    702-876-1431
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    MRS. JOYCE REBECCA VARHOLA 
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    Credential           |    RN, BA, MSHCA
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    Telephone            |    702-480-8849
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    3140N1450X
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    Taxonomy Name        |    Pediatric Skilled Nursing Facility
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    License Number       |    RN06173
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    License Number State |    NV
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Taxonomy #2
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    Taxonomy Code        |    282N00000X
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    Taxonomy Name        |    General Acute Care Hospital
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    License Number       |    RNO6173
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    License Number State |    NV
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