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General NPI Number Information
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NPI Number | 1912200445
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Entity Type | Individual
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Provider Name | CHAD WILLIAM HOWELL BACHELOR DEGREE
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Gender | Male
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Dates
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Enumeration Date | 12/05/2010
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Last Update Date | 10/29/2014
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Provider Practice Location Address
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Address Line | 5138 N JULIANO RD
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City | LAS VEGAS
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State | NV
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Zip | 89149-4110
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Country | US
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Telephone | 702-248-6290
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Fax |
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Provider Business Mailing Address
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Address Line | 4262 BLUE DIAMOND RD STE 102-284 STE. 102-284
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City | LAS VEGAS
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State | NV
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Zip | 89139-7789
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Country | US
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Telephone | 775-750-8939
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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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 | 225400000X
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Taxonomy Name | Rehabilitation Practitioner
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License Number |
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License Number State |
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