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General NPI Number Information
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NPI Number | 1194358192
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Entity Type | Individual
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Provider Name | JESUS DANIEL DEL VAL MD
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Gender | Male
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Dates
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Enumeration Date | 02/18/2020
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Last Update Date | 07/18/2025
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Provider Practice Location Address
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Address Line | 1000 ASHLAND DR STE 301
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City | ASHLAND
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State | KY
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Zip | 41101-7097
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Country | US
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Telephone | 606-408-3143
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Fax | 606-325-8486
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Provider Business Mailing Address
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Address Line | 3014 W CHARLESTON BLVD STE 130
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City | LAS VEGAS
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State | NV
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Zip | 89102-0083
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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 |
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 25821
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | 25821
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License Number State | NV
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Taxonomy #3
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | 60238
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License Number State | KY
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Taxonomy #4
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 60238
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License Number State | KY
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