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General NPI Number Information
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NPI Number | 1649687914
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Entity Type | Individual
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Provider Name | DENYS V GOLOSHCHAPOV MD
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Gender | Male
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Dates
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Enumeration Date | 07/17/2014
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Last Update Date | 03/15/2024
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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
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Country | US
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Telephone | 702-383-2000
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Fax | 702-383-3620
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Provider Business Mailing Address
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Address Line | 6415 S FORT APACHE RD STE 185-1005
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City | LAS VEGAS
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State | NV
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Zip | 89148-6744
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Country | US
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Telephone | 702-829-6386
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Fax | 702-479-1983
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 23270
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | MD2019-0248
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License Number State | NM
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Taxonomy #3
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 9610007-1205
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License Number State | UT
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Taxonomy #4
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number | 23270
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License Number State | NV
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