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General NPI Number Information
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NPI Number | 1508062506
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Entity Type | Individual
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Provider Name | TAL AARON MINUSKIN MD
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Gender | Male
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Dates
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Enumeration Date | 06/26/2007
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 851 S RAMPART BLVD STE 130
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City | LAS VEGAS
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State | NV
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Zip | 89145-4884
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Country | US
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Telephone | 702-823-1333
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Fax | 702-823-1190
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Provider Business Mailing Address
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Address Line | 851 S RAMPART BLVD STE 130
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City | LAS VEGAS
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State | NV
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Zip | 89145-4884
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Country | US
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Telephone | 702-823-1333
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Fax | 702-823-1190
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 46719
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 15337
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License Number State | NV
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