MEDICARE: EDWARD CALL

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225400000X	Rehabilitation Practitioner	1702632459	NV

General Provider Information

NPI Number	:	1457786089
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EDWARD CALL

Provider Business Mailing Address
First Line	:	2913 HIGH VIEW DR
Second Line	:
City	:	HENDERSON
State	:	NV
Zip	:	89014-3703
Country	:	US
Telephone Number	:	702-271-4493
Fax Number	:

Provider Business Practice Location Address
First Line	:	4310 CAMERON ST STE 11
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89103-3826
Country	:	US
Telephone Number	:	702-570-5100
Fax Number	:	702-570-5104

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/13/2013
Last Update Date	:	10/04/2013

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Directions to “ EDWARD CALL ” Practice Location

Language	Start Address	Practice Location

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