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General NPI Number Information
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NPI Number | 1699788141
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Entity Type | Organization
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Legal Business Name | H. SEWANI, MD INC
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Dates
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Enumeration Date | 08/15/2006
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Last Update Date | 12/15/2009
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Provider Practice Location Address
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Address Line | 2600 S RAINBOW BLVD #108
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City | LAS VEGAS
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State | NV
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Zip | 89146-4006
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Country | US
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Telephone | 702-655-1400
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Fax | 702-685-0612
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Provider Business Mailing Address
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Address Line | 2809 CRYSTAL BEACH DR
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City | LAS VEGAS
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State | NV
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Zip | 89128-6908
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Country | US
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Telephone | 702-655-1400
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Fax | 702-685-0612
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Authorized Official
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Title or Position | PRESIDENT
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Name | HASSANALI SEWANI
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Credential | MD
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Telephone | 702-324-5813
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | 10241
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License Number State | NV
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