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General NPI Number Information
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NPI Number | 1043461296
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Entity Type | Organization
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Legal Business Name | ADRIAN ADRIAN A PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 10/07/2008
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Last Update Date | 11/18/2014
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Provider Practice Location Address
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Address Line | 5940 S RAINBOW BLVD
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City | LAS VEGAS
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State | NV
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Zip | 89118-2540
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Country | US
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Telephone | 702-335-1880
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Fax |
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Provider Business Mailing Address
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Address Line | 5940 S. RAINBOW
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City | LAS VEGAS
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State | NV
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Zip | 89118
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Country | US
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Telephone | 702-335-1880
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Fax | 702-798-6709
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Authorized Official
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Title or Position | PRESIDENT
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Name | ADRIAN ADRIAN
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Credential | MD
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Telephone | 702-335-1880
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State | NV
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