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General NPI Number Information
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NPI Number | 1124298245
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Entity Type | Organization
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Legal Business Name | HAMID T. HAIDER MD PLLC
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Dates
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Enumeration Date | 03/04/2008
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Last Update Date | 01/30/2018
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Provider Practice Location Address
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Address Line | 3186 S MARYLAND PKWY
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City | LAS VEGAS
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State | NV
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Zip | 89109-2317
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Country | US
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Telephone | 702-453-3799
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Fax | 702-453-5741
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Provider Business Mailing Address
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Address Line | 5945 S RAINBOW BLVD STE 140
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City | LAS VEGAS
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State | NV
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Zip | 89118-2560
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | HAMID T HAIDER
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Credential | MD
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Telephone | 702-256-7975
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 12521
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License Number State | NV
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