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General NPI Number Information
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NPI Number | 1316365141
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Entity Type | Organization
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Legal Business Name | LAS VEGAS RHEUMATOLOGY ASSOCIATES
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Dates
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Enumeration Date | 03/29/2014
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Last Update Date | 04/12/2019
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Provider Practice Location Address
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Address Line | 4100 N MARTIN L KING BLVD STE A
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City | NORTH LAS VEGAS
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State | NV
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Zip | 89032
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Country | US
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Telephone | 702-723-2086
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Fax | 702-723-2089
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Provider Business Mailing Address
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Address Line | 4100 N MARTIN L KING BLVD STE A
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City | NORTH LAS VEGAS
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State | NV
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Zip | 89032-0293
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Country | US
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Telephone | 702-723-2086
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Fax | 702-723-2089
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. OKEY JUSTIN OPARANAKU
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Credential | MD
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Telephone | 202-489-5768
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | 15157
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License Number State | NV
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