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General NPI Number Information
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NPI Number | 1538422183
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Entity Type | Individual
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Provider Name | RAJIV PRADEEP AMESUR D.O.
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Gender | Male
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Dates
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Enumeration Date | 06/19/2012
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Last Update Date | 10/31/2023
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Provider Practice Location Address
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Address Line | 1669 W HORIZON RIDGE PKWY STE 100
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City | HENDERSON
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State | NV
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Zip | 89012-3516
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Country | US
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Telephone | 702-781-4800
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Fax | 702-664-6755
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Provider Business Mailing Address
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Address Line | 3459 SAINT ROSE PKWY STE 120-481
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City | HENDERSON
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State | NV
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Zip | 89052-4601
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Country | US
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Telephone | 702-781-4800
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Fax | 702-664-6755
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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 | DO1939
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | DO1939
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License Number State | NV
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Taxonomy #3
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | DO1939
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License Number State | NV
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