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General NPI Number Information
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NPI Number | 1679864854
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Entity Type | Organization
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Legal Business Name | MPADO MEDICAL (AMIN) LTD.
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Dates
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Enumeration Date | 04/22/2011
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Last Update Date | 04/22/2011
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Provider Practice Location Address
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Address Line | 11425 S BERMUDA RD
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City | HENDERSON
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State | NV
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Zip | 89052-8710
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Country | US
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Telephone | 702-858-7376
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 36830
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City | LAS VEGAS
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State | NV
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Zip | 89133-6830
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MINESH AMIN
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Credential | DO
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Telephone | 949-293-5870
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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 | DO1591
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License Number State | NV
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