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General NPI Number Information
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NPI Number | 1558136838
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Entity Type | Organization
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Legal Business Name | LIMITLESS MEDICAL GROUP TACVORIAN FAZLINEJAD PLLC
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Dates
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Enumeration Date | 11/16/2023
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Last Update Date | 02/14/2024
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Provider Practice Location Address
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Address Line | 9333 W SUNSET RD STE A
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City | LAS VEGAS
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State | NV
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Zip | 89148-4845
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Country | US
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Telephone | 702-358-0440
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Fax | 702-430-9669
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Provider Business Mailing Address
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Address Line | 6545 S FORT APACHE RD STE 135
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City | LAS VEGAS
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State | NV
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Zip | 89148-6758
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Country | US
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Telephone | 702-358-0440
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Fax | 702-430-9669
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | DR. ARIA FAZLINEJAD
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Credential | DO
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Telephone | 310-966-0397
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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