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General NPI Number Information
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NPI Number | 1316871395
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Entity Type | Organization
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Legal Business Name | DESERT ROSE SURGERY CENTER
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Dates
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Enumeration Date | 06/12/2026
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Last Update Date | 06/12/2026
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Provider Practice Location Address
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Address Line | 7475 W SAHARA AVE STE 103
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City | LAS VEGAS
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State | NV
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Zip | 89117-2768
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Country | US
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Telephone | 702-294-0080
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Fax |
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Provider Business Mailing Address
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Address Line | 2031 MCDANIEL ST STE 200
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City | NORTH LAS VEGAS
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State | NV
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Zip | 89030-6312
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Country | US
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Telephone | 702-294-0080
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | SHERIF HARAWAY
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Credential | MD
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Telephone | 702-294-0080
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number |
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License Number State |
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