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General NPI Number Information
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NPI Number | 1659450559
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Entity Type | Individual
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Provider Name | DAISY MARGARET STIKOVAC M.D.
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Gender | Female
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Dates
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Enumeration Date | 11/03/2006
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Last Update Date | 03/19/2022
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Provider Practice Location Address
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Address Line | 3615 W CHARLESTON BLVD
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City | LAS VEGAS
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State | NV
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Zip | 89102-1842
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Country | US
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Telephone | 702-508-9461
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Fax |
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Provider Business Mailing Address
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Address Line | 11340 HEDGEMONT AVE
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City | LAS VEGAS
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State | NV
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Zip | 89138-7594
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Country | US
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Telephone | 502-533-7603
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Fax | 502-228-4264
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 36329
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 21443
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License Number State | NV
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