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Organization
MARK TADDEO
Active
Organization
MARK TADDEO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK ANTHONY TADDEO (SPEECH-LANGUAGE PATHOLOGIST)
(702) 277-2523
Entity
Organization
Contact information
Practice address
10318 CANVAS CANYON CT, LAS VEGAS, NV 89178-6541
(702) 277-2523
Mailing address
10318 CANVAS CANYON CT, LAS VEGAS, NV 89178-6541
(702) 277-2523
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
SP-1778
NV
Other
Enumeration date
03/05/2015
Last updated
03/05/2015
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