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General NPI Number Information
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NPI Number | 1962227454
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Entity Type | Organization
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Legal Business Name | ENLIVEN INFUSION AND WELLNESS CLINIC LLC
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Dates
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Enumeration Date | 11/19/2024
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Last Update Date | 09/11/2026
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Provider Practice Location Address
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Address Line | 350 FALCON RIDGE PKWY STE 204
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City | MESQUITE
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State | NV
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Zip | 89027-8879
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Country | US
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Telephone | 702-686-8907
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Fax |
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Provider Business Mailing Address
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Address Line | 350 FALCON RIDGE PKWY STE 204
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City | MESQUITE
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State | NV
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Zip | 89027-8879
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Country | US
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Telephone | 702-686-8907
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. RODNEY JOSEPH BRIGGS
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Credential | PA
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Telephone | 702-686-8907
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QI0500X
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Taxonomy Name | Infusion Therapy Clinic/Center
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License Number |
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License Number State |
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