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General NPI Number Information
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NPI Number | 1669991006
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Entity Type | Organization
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Legal Business Name | AHMED JARADAT MD PLLC
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Dates
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Enumeration Date | 09/18/2017
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Last Update Date | 10/16/2025
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Provider Practice Location Address
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Address Line | 3022 S DURANGO DR STE 100
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City | LAS VEGAS
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State | NV
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Zip | 89117-4440
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Country | US
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Telephone | 702-256-3637
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Fax |
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Provider Business Mailing Address
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Address Line | 3022 S DURANGO DR STE 100 SUITE 100
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City | LAS VEGAS
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State | NV
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Zip | 89117-4440
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Country | US
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Telephone | 702-256-3637
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Fax |
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Authorized Official
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Title or Position | AGENT
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Name | LAUREN DEWS
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Credential |
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Telephone | 702-355-1187
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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 | 15111
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License Number State | NV
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