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General NPI Number Information
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NPI Number | 1467765024
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Entity Type | Organization
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Legal Business Name | FARZIN FARHANG MD PLLC
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Dates
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Enumeration Date | 07/23/2010
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Last Update Date | 12/18/2024
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Provider Practice Location Address
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Address Line | 7251 W LAKE MEAD BLVD STE 300
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City | LAS VEGAS
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State | NV
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Zip | 89128-8380
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Country | US
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Telephone | 702-629-6992
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Fax |
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Provider Business Mailing Address
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Address Line | 9030 W SAHARA AVE # 249
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City | LAS VEGAS
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State | NV
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Zip | 89117-5744
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | ACCOUNT MANAGER
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Name | LAURA JORDAN
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Credential |
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Telephone | 702-762-2485
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208VP0000X
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Taxonomy Name | Pain Medicine Physician
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License Number | 11033
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License Number State | NV
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