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General NPI Number Information
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NPI Number | 1316576291
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Entity Type | Individual
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Provider Name | CAROL R ELSAKR MD
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Gender | Female
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Dates
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Enumeration Date | 04/03/2020
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Last Update Date | 08/13/2023
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Provider Practice Location Address
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Address Line | 3150 N TENAYA WAY STE 455
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City | LAS VEGAS
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State | NV
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Zip | 89128-0460
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Country | US
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Telephone | 702-962-2320
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Fax | 702-962-2321
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Provider Business Mailing Address
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Address Line | 2880 N TENAYA WAY FL 2
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City | LAS VEGAS
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State | NV
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Zip | 89128-0618
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Country | US
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Telephone | 702-962-2320
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Fax | 702-962-2321
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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 | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | LL3618
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License Number State | NV
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