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General NPI Number Information
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NPI Number | 1942185285
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Entity Type | Organization
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Legal Business Name | INFRASLIMX LAS VEGAS LLC
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Dates
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Enumeration Date | 08/06/2025
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Last Update Date | 08/06/2025
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Provider Practice Location Address
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Address Line | 3455 S DURANGO DR STE 112
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City | LAS VEGAS
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State | NV
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Zip | 89117-4129
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Country | US
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Telephone | 702-994-5287
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Fax |
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Provider Business Mailing Address
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Address Line | 3455 S DURANGO DR STE 112
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City | LAS VEGAS
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State | NV
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Zip | 89117-4129
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Country | US
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Telephone | 702-994-5287
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | TIMEA SZEPESI
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Credential |
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Telephone | 702-994-5287
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251T00000X
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Taxonomy Name | PACE Provider Organization
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License Number |
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License Number State |
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