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General NPI Number Information
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NPI Number | 1699722819
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Entity Type | Individual
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Provider Name | DAVID DIJOHN MD
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Gender | Male
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Dates
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Enumeration Date | 05/31/2006
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Last Update Date | 02/06/2019
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Provider Practice Location Address
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Address Line | 1524 PINTO LN FL 3
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City | LAS VEGAS
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State | NV
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Zip | 89106-4195
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Country | US
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Telephone | 702-992-6868
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Fax |
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Provider Business Mailing Address
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Address Line | 3016 W CHARLESTON BLVD STE 205
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City | LAS VEGAS
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State | NV
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Zip | 89102-1963
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Country | US
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Telephone | 702-780-2311
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Fax | 702-895-4014
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 15067
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 156788
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 2080P0208X
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Taxonomy Name | Pediatric Infectious Diseases Physician
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License Number | 156788
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License Number State | NY
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