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General NPI Number Information
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NPI Number | 1073975702
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Entity Type | Individual
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Provider Name | RANDALL K. BESS M.D.
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Gender | Male
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Dates
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Enumeration Date | 03/22/2016
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Last Update Date | 07/01/2019
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Provider Practice Location Address
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Address Line | 3001 SAINT ROSE PKWY
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City | HENDERSON
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State | NV
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Zip | 89052-3839
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Country | US
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Telephone | 702-616-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 901 RANCHO LN SUITE 135
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City | LAS VEGAS
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State | NV
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Zip | 89106-3836
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Country | US
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Telephone | 702-383-7885
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Fax | 702-383-8235
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 18750
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License Number State | NV
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