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General NPI Number Information
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NPI Number | 1962133470
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Entity Type | Organization
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Legal Business Name | BEST CRANIAL CARE
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Dates
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Enumeration Date | 06/23/2022
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Last Update Date | 06/23/2022
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Provider Practice Location Address
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Address Line | 8445 LAS VEGAS BLVD S APT 1057
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City | LAS VEGAS
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State | NV
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Zip | 89123-1690
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Country | US
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Telephone | 702-752-8354
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Fax | 184-470-0137
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Provider Business Mailing Address
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Address Line | 8445 LAS VEGAS BLVD S APT 1057
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City | LAS VEGAS
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State | NV
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Zip | 89123-1690
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Country | US
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Telephone | 702-752-8354
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Fax |
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Authorized Official
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Title or Position | PROSTHETIC ORTHOTIC PROVIDER
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Name | TATIANA RECHELLE NELSON
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Credential | OTHER
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Telephone | 702-752-8354
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number |
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License Number State |
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