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NPI 1912549593

NPI 1912549593 : FRANCE NIELSON DDS PLLC : LAS VEGAS, NV

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General NPI Number Information
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    NPI Number           |    1912549593
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    Entity Type          |    Organization 
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    Legal Business Name  |    FRANCE NIELSON DDS PLLC 
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Dates
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    Enumeration Date     |    10/15/2019
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    Last Update Date     |    10/15/2019
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Provider Practice Location Address
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    Address Line         |    6170 N DURANGO DR STE 110 
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    City                 |    LAS VEGAS
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    State                |    NV
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    Zip                  |    89149-3923
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    Country              |    US
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    Telephone            |    801-592-9543
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    8475 GREAT OUTDOORS ST 
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    City                 |    LAS VEGAS
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    State                |    NV
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    Zip                  |    89166-3814
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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    |    OWNER/DENTIST
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    Name                 |    DR. FRANCE  NIELSON 
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    Credential           |    DDS
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    Telephone            |    801-592-9543
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    1223G0001X
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    Taxonomy Name        |    General Practice Dentistry
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    License Number       |    
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    License Number State |    
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