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General NPI Number Information
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NPI Number | 1407077803
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Entity Type | Individual
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Provider Name | PRAVEEN SARAN M.D., MPH
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Gender | Male
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Dates
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Enumeration Date | 05/01/2007
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Last Update Date | 07/23/2009
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Provider Practice Location Address
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Address Line | 7010 SMOKE RANCH RD STE. 120
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City | LAS VEGAS
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State | NV
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Zip | 89128-3123
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Country | US
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Telephone | 702-633-6006
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Fax | 702-633-9110
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Provider Business Mailing Address
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Address Line | 7529 BELGIAN LION ST
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City | LAS VEGAS
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State | NV
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Zip | 89139-5302
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Country | US
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Telephone | 702-633-6006
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Fax | 702-633-9110
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 9683
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License Number State | NV
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