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General NPI Number Information
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NPI Number | 1205869435
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Entity Type | Organization
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Legal Business Name | THOMAS J HESS MD A PROF CORP
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Dates
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Enumeration Date | 07/09/2006
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Last Update Date | 03/25/2008
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Provider Practice Location Address
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Address Line | 1641 E FLAMINGO RD STE 10
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City | LAS VEGAS
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State | NV
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Zip | 89119-5257
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Country | US
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Telephone | 702-734-4377
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Fax | 702-369-8057
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Provider Business Mailing Address
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Address Line | 1641 E FLAMINGO RD STE 10
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City | LAS VEGAS
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State | NV
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Zip | 89119-5257
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Country | US
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Telephone | 702-734-4377
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Fax | 702-369-8057
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Authorized Official
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Title or Position | OWNER
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Name | THOMAS JOSEPH HESS
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Credential | MD
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Telephone | 702-734-4377
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 173000000X
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Taxonomy Name | Legal Medicine
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License Number | 10560
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License Number State | NV
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