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General NPI Number Information
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NPI Number | 1629422522
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Entity Type | Individual
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Provider Name | BLAKE HAAS MD, PHD
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Gender | Male
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Dates
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Enumeration Date | 04/17/2016
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Last Update Date | 07/30/2025
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Provider Practice Location Address
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Address Line | 1800 W CHARLESTON BLVD
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City | LAS VEGAS
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State | NV
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Zip | 89102-2386
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Country | US
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Telephone | 702-383-2000
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Fax |
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Provider Business Mailing Address
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Address Line | 1800 W CHARLESTON BLVD
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City | LAS VEGAS
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State | NV
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Zip | 89102-2386
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Country | US
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Telephone | 702-383-2000
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Fax |
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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 | 2085N0700X
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Taxonomy Name | Neuroradiology Physician
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License Number | 21862
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 2085N0700X
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Taxonomy Name | Neuroradiology Physician
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License Number | A171083
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 21862
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License Number State | NV
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