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General NPI Number Information
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NPI Number | 1447746623
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Entity Type | Individual
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Provider Name | SHEILA HERAYPUR DMD
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Gender | Female
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Dates
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Enumeration Date | 07/10/2018
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Last Update Date | 10/19/2020
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Provider Practice Location Address
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Address Line | 8525 BLUE DIAMOND ROAD STE 110
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City | LAS VEGAS
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State | NV
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Zip | 89178
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Country | US
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Telephone | 702-660-2646
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Fax |
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Provider Business Mailing Address
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Address Line | 11396 RANCHO PORTENA AVE
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City | LAS VEGAS
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State | NV
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Zip | 89138-1524
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Country | US
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Telephone | 702-875-1392
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 7320
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 102609
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License Number State | CA
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