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General NPI Number Information
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NPI Number | 1639669567
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Entity Type | Individual
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Provider Name | NERVIK ROY DO
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Gender | Male
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Dates
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Enumeration Date | 05/16/2018
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Last Update Date | 05/16/2024
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Provider Practice Location Address
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Address Line | 1581 MOUNT MARIAH DR STE 150
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City | LAS VEGAS
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State | NV
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Zip | 89106-1506
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Country | US
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Telephone | 702-851-7766
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Fax | 702-851-7760
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Provider Business Mailing Address
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Address Line | 2545 S BRUCE ST STE 200
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City | LAS VEGAS
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State | NV
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Zip | 89169-1778
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Country | US
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Telephone | 702-732-2438
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Fax | 702-737-5043
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | SL1342
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | DO2871
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License Number State | NV
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Taxonomy #3
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | TL.0008760
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License Number State | CO
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Taxonomy #4
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | DO3366
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License Number State | NV
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