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General NPI Number Information
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NPI Number | 1932527348
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Entity Type | Organization
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Legal Business Name | SILVER STATE CASE MANAGEMENT SERVICES
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Dates
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Enumeration Date | 04/02/2014
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Last Update Date | 04/02/2014
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Provider Practice Location Address
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Address Line | 3430 E FLAMINGO RD SUITE 348
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City | LAS VEGAS
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State | NV
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Zip | 89121-5003
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Country | US
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Telephone | 702-771-0304
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Fax |
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Provider Business Mailing Address
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Address Line | 3430 E FLAMINGO RD SUITE 348
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City | LAS VEGAS
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State | NV
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Zip | 89121-5003
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Country | US
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Telephone | 702-771-0304
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | CLIFFORD ETIENNE
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Credential |
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Telephone | 702-771-0304
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302F00000X
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Taxonomy Name | Exclusive Provider Organization
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License Number | NV20131689889
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License Number State | NV
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