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General NPI Number Information
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NPI Number | 1942064043
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Entity Type | Individual
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Provider Name | STEVEN TODD KUNZLER
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Gender | Male
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Dates
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Enumeration Date | 02/08/2024
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Last Update Date | 02/08/2024
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Provider Practice Location Address
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Address Line | 5560 S. FORTH APACHE SUITE 110
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City | LAS VEGAS
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State | NV
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Zip | 89148
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Country | US
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Telephone | 702-802-4511
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Fax | 702-802-4512
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Provider Business Mailing Address
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Address Line | 3533 TULLAMORE ST
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City | LAS VEGAS
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State | NV
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Zip | 89129-6979
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Country | US
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Telephone | 702-802-4511
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Fax | 702-802-4512
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | 7648-PCS-12
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License Number State | NV
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