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General NPI Number Information
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NPI Number | 1649291352
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Entity Type | Organization
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Legal Business Name | SASSAN KAVEH MD PROF CORP
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Dates
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Enumeration Date | 07/21/2006
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Last Update Date | 12/28/2020
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Provider Practice Location Address
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Address Line | 3150 N TENAYA WAY SUITE 400
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City | LAS VEGAS
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State | NV
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Zip | 89128-0443
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Country | US
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Telephone | 702-233-6661
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Fax | 702-233-3055
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Provider Business Mailing Address
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Address Line | 3150 N TENAYA WAY SUITE 400
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City | LAS VEGAS
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State | NV
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Zip | 89128-0443
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Country | US
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Telephone | 702-233-6661
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Fax | 702-233-3055
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Authorized Official
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Title or Position | PRESIDENT
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Name | SASSAN KAVEH
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Credential | MD
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Telephone | 702-233-6661
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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 | 8320
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License Number State | NV
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