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NPI 1245523349

NPI 1245523349 : SHIRLEY ANNETTE NAJJAR M.D. : LAS VEGAS, NV

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General NPI Number Information
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    NPI Number           |    1245523349
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    Entity Type          |    Individual 
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    Provider Name        |    SHIRLEY ANNETTE NAJJAR M.D.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    05/23/2011
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    Last Update Date     |    04/13/2023
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Provider Practice Location Address
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    Address Line         |    5320 S RAINBOW BLVD STE 150 
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    City                 |    LAS VEGAS
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    State                |    NV
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    Zip                  |    89118-1807
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    Country              |    US
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    Telephone            |    702-944-7105
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    Fax                  |    702-944-7110
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Provider Business Mailing Address
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    Address Line         |    6355 S BUFFALO DR FL 3 
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    City                 |    LAS VEGAS
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    State                |    NV
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    Zip                  |    89113-2133
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    Country              |    US
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    Telephone            |    702-216-3346
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    Fax                  |    702-671-6883
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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        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    4301101748
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    License Number State |    MI
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Taxonomy #2
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    Taxonomy Code        |    390200000X
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    Taxonomy Name        |    Student in an Organized Health Care Education/Training Program
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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        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    20178
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    License Number State |    NV
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