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General NPI Number Information
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NPI Number | 1225030919
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Entity Type | Individual
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Provider Name | POUYA MOHAJER M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/11/2005
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Last Update Date | 12/02/2021
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Provider Practice Location Address
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Address Line | 5741 S FORT APACHE RD STE 120
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City | LAS VEGAS
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State | NV
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Zip | 89148-5622
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Country | US
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Telephone | 702-798-0111
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Fax | 866-333-0436
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Provider Business Mailing Address
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Address Line | 5130 S FORT APACHE RD STE 215-232
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City | LAS VEGAS
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State | NV
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Zip | 89148-1719
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Country | US
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Telephone | 702-798-0111
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Fax | 844-247-3481
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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 | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | 10841
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License Number State | NV
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