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General NPI Number Information
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NPI Number | 1134110596
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Entity Type | Individual
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Provider Name | ROBERT R GAO M.D.
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Gender | Male
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Dates
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Enumeration Date | 11/03/2005
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Last Update Date | 03/24/2023
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Provider Practice Location Address
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Address Line | 3022 S DURANGO DR STE 100
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City | LAS VEGAS
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State | NV
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Zip | 89117-4440
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Country | US
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Telephone | 702-269-0781
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Fax | 702-269-0788
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Provider Business Mailing Address
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Address Line | PO BOX 530369
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City | HENDERSON
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State | NV
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Zip | 89053-0369
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Country | US
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Telephone | 702-269-0781
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Fax | 702-269-0788
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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 | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 9991
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License Number State | NV
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