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General NPI Number Information
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NPI Number | 1689725467
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Entity Type | Organization
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Legal Business Name | HALE AND DOWNEY FAMILY DENTISTRY, P.C.
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Dates
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Enumeration Date | 01/16/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 5660 W FLAMINGO RD SUITE B
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City | LAS VEGAS
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State | NV
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Zip | 89103-0171
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Country | US
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Telephone | 702-871-4903
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Fax | 702-871-1485
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Provider Business Mailing Address
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Address Line | 5660 W FLAMINGO RD SUITE B
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City | LAS VEGAS
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State | NV
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Zip | 89103-0171
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Country | US
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Telephone | 702-871-4903
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Fax | 702-871-1485
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Authorized Official
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Title or Position | SECRETARY DENTIST
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Name | DR. JASON LEE DOWNEY
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Credential | DDS
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Telephone | 702-871-4903
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 0883
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 3466
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License Number State | NV
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