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General NPI Number Information
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NPI Number | 1932919040
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Entity Type | Organization
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Legal Business Name | SOLACE PEDIATRIC HEALTHCARE THERAPY SERVICES NEVADA, LLC
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Dates
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Enumeration Date | 01/10/2025
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Last Update Date | 01/10/2025
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Provider Practice Location Address
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Address Line | 3753 HOWARD HUGHES PKWY STE 200 OFFICE 263
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City | LAS VEGAS
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State | NV
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Zip | 89169-0952
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Country | US
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Telephone | 303-432-8487
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Fax |
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Provider Business Mailing Address
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Address Line | 3753 HOWARD HUGHES PKWY STE 200
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City | LAS VEGAS
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State | NV
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Zip | 89169-0952
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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 | REGIONAL DIRECTOR OF COMPLIANCE
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Name | LINDSAY MILLER
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Credential |
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Telephone | 303-432-8487
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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