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General NPI Number Information
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NPI Number | 1932605532
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Entity Type | Organization
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Legal Business Name | UNITED SCREENERS INC
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Dates
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Enumeration Date | 04/03/2018
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Last Update Date | 04/03/2018
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Provider Practice Location Address
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Address Line | 1350 E FLAMINGO RD STE 620
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City | LAS VEGAS
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State | NV
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Zip | 89119-5263
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Country | US
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Telephone | 702-595-7828
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Fax |
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Provider Business Mailing Address
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Address Line | 12751 MILLENNIUM APT 436
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City | PLAYA VISTA
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State | CA
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Zip | 90094-2965
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Country | US
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Telephone | 702-595-7828
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | ARETUS CORTEZ SMITH JR.
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Credential |
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Telephone | 702-595-7828
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 305S00000X
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Taxonomy Name | Point of Service
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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 | 405300000X
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Taxonomy Name | Prevention Professional
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License Number |
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License Number State |
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