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General NPI Number Information
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NPI Number | 1215568373
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Entity Type | Organization
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Legal Business Name | NITIN J. ENGINEER MD PLASTIC SURGERY PLLC
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Dates
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Enumeration Date | 01/28/2020
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Last Update Date | 01/28/2020
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Provider Practice Location Address
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Address Line | 2821 W HORIZON RIDGE PKWY STE 130
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City | HENDERSON
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State | NV
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Zip | 89052-4429
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Country | US
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Telephone | 702-907-2222
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Fax |
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Provider Business Mailing Address
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Address Line | 1364 ENCHANTED RIVER DR
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City | HENDERSON
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State | NV
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Zip | 89012-7276
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Country | US
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Telephone | 702-907-2222
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Fax | 702-907-4444
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Authorized Official
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Title or Position | MANAGER
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Name | NITIN J ENGINEER
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Credential | MD
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Telephone | 702-907-2222
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2086S0122X
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Taxonomy Name | Plastic and Reconstructive Surgery Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 2086S0105X
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Taxonomy Name | Surgery of the Hand (Surgery) Physician
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License Number |
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License Number State |
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