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General NPI Number Information
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NPI Number | 1629079884
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Entity Type | Organization
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Legal Business Name | BERNARD ADDO-QUAYE MD PC
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Dates
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Enumeration Date | 08/09/2005
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Last Update Date | 04/24/2025
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Provider Practice Location Address
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Address Line | 1721 E CHARLESTON BLVD FL 3
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City | LAS VEGAS
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State | NV
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Zip | 89104-1902
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Country | US
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Telephone | 702-685-0620
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Fax | 702-685-9674
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Provider Business Mailing Address
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Address Line | 1721 E CHARLESTON BLVD FL 3
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City | LAS VEGAS
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State | NV
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Zip | 89104-1902
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Country | US
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Telephone | 702-685-0620
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Fax | 702-685-9674
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | VALANDO STERLING
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Credential |
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Telephone | 702-685-0620
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 9413
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License Number State | NV
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