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General NPI Number Information
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NPI Number | 1689785081
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Entity Type | Organization
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Legal Business Name | PABLO JOYA MD CHARTERED
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 09/24/2010
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Provider Practice Location Address
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Address Line | 341 N BUFFALO DR STE C
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City | LAS VEGAS
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State | NV
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Zip | 89145-0376
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Country | US
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Telephone | 702-386-6167
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Fax | 702-386-0487
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Provider Business Mailing Address
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Address Line | 341 N BUFFALO DR STE C
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City | LAS VEGAS
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State | NV
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Zip | 89145-0376
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Country | US
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Telephone | 702-386-6167
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Fax | 702-386-0487
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. PABLO ULISES JOYA
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Credential | M.D.
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Telephone | 702-386-6167
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 3308
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License Number State | NV
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