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General NPI Number Information
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NPI Number | 1447982574
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Entity Type | Individual
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Provider Name | DAI-AN JUSTINE VO-BA DO
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Gender | Female
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Dates
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Enumeration Date | 06/28/2022
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Last Update Date | 06/28/2025
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Provider Practice Location Address
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Address Line | 1701 W CHARLESTON BLVD STE 230
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City | LAS VEGAS
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State | NV
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Zip | 89102-2312
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Country | US
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Telephone | 702-671-6469
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Fax |
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Provider Business Mailing Address
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Address Line | 965 TWILIGHT PEAK AVE
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City | HENDERSON
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State | NV
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Zip | 89012-5102
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Country | US
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Telephone | 970-581-3464
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | SL1898
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License Number State | NV
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