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General NPI Number Information
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NPI Number | 1598735599
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Entity Type | Individual
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Provider Name | BARRY YVES BORNSTEIN PA
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Gender | Male
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Dates
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Enumeration Date | 01/24/2006
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Last Update Date | 11/18/2025
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Provider Practice Location Address
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Address Line | 1655 E CACTUS AVE STE 120
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City | LAS VEGAS
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State | NV
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Zip | 89183-7723
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Country | US
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Telephone | 702-737-1880
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Fax | 702-737-5988
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Provider Business Mailing Address
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Address Line | PO BOX 15645
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City | LAS VEGAS
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State | NV
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Zip | 89114-5645
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Country | US
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Telephone | 702-737-1880
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Fax | 702-737-5988
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA920
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License Number State | NV
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