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General NPI Number Information
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NPI Number | 1285612705
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Entity Type | Individual
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Provider Name | ADAM M PERSKY DMD
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Gender | Male
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Dates
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Enumeration Date | 01/04/2006
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Last Update Date | 10/06/2023
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Provider Practice Location Address
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Address Line | 2685 S RAINBOW BLVD STE 107
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City | LAS VEGAS
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State | NV
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Zip | 89146-5188
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Country | US
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Telephone | 702-461-6026
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Fax |
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Provider Business Mailing Address
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Address Line | 2685 S RAINBOW BLVD STE 107
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City | LAS VEGAS
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State | NV
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Zip | 89146-5188
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Country | US
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Telephone | 702-941-4148
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DN18779
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 4192
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License Number State | NV
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