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General NPI Number Information
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NPI Number | 1891979688
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Entity Type | Organization
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Legal Business Name | NEVADA HEALTH CENTERS, INC.
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Dates
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Enumeration Date | 12/28/2007
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Last Update Date | 12/28/2007
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Provider Practice Location Address
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Address Line | 2800 STEWART AVE
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City | LAS VEGAS
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State | NV
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Zip | 89101-4722
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Country | US
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Telephone | 702-383-6179
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Fax | 702-383-6375
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Provider Business Mailing Address
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Address Line | 1802 N CARSON ST STE 100
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City | CARSON CITY
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State | NV
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Zip | 89701-1227
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Country | US
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Telephone | 775-888-6610
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Fax | 775-887-7046
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Authorized Official
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Title or Position | PHARMACIST
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Name | STEPHANIE INGREY
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Credential | RPH
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Telephone | 775-888-6610
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0002X
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Taxonomy Name | Clinic Pharmacy
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License Number | PH1212
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License Number State | NV
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