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General NPI Number Information
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NPI Number | 1538974233
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Entity Type | Organization
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Legal Business Name | TENAYA CARDIOVASCULAR (GABASHA) PLLC
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Dates
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Enumeration Date | 02/10/2025
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Last Update Date | 02/10/2025
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Provider Practice Location Address
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Address Line | 410 S RAMPART BLVD STE 350
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City | LAS VEGAS
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State | NV
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Zip | 89145-5730
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Country | US
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Telephone | 702-366-6000
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Fax |
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Provider Business Mailing Address
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Address Line | 410 S RAMPART BLVD STE 350
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City | LAS VEGAS
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State | NV
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Zip | 89145-5730
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Country | US
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Telephone | 702-366-6000
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | JEFFREY LEVISMAN
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Credential |
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Telephone | 310-927-6910
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number |
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License Number State |
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