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General NPI Number Information
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NPI Number | 1922821859
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Entity Type | Organization
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Legal Business Name | TAPD MEDICAL AND TREE HOUSE ASSISTED LIVING
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Dates
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Enumeration Date | 11/07/2024
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Last Update Date | 11/07/2024
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Provider Practice Location Address
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Address Line | 42 FALLEN TREE CT
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City | HENDERSON
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State | NV
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Zip | 89074-6299
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Country | US
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Telephone | 702-826-6760
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Fax |
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Provider Business Mailing Address
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Address Line | 42 FALLEN TREE CT
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City | HENDERSON
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State | NV
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Zip | 89074-6299
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Country | US
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Telephone | 702-826-6760
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. THERESA WALKER
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Credential | APRN-C
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Telephone | 702-826-6760
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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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 | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number |
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License Number State |
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