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General NPI Number Information
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NPI Number | 1194693739
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Entity Type | Individual
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Provider Name | EMESE HAJDAR
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Gender | Female
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Dates
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Enumeration Date | 10/27/2025
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Last Update Date | 10/27/2025
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Provider Practice Location Address
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Address Line | 2480 PROFESSIONAL CT # 110
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City | LAS VEGAS
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State | NV
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Zip | 89128-0835
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Country | US
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Telephone | 702-868-9100
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Fax |
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Provider Business Mailing Address
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Address Line | 2603 S DURANGO DR APT 202
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City | LAS VEGAS
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State | NV
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Zip | 89117-2615
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Country | US
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Telephone | 702-325-8235
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State | NV
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