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General NPI Number Information
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NPI Number | 1700776267
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Entity Type | Organization
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Legal Business Name | LAS VEGAS PROVIDERS, PLLC
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Dates
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Enumeration Date | 07/07/2025
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Last Update Date | 01/23/2026
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Provider Practice Location Address
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Address Line | 5351 MONTESSOURI ST
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City | LAS VEGAS
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State | NV
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Zip | 89113-1126
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Country | US
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Telephone | 702-251-2200
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Fax |
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Provider Business Mailing Address
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Address Line | 401 RYLAND ST STE 200A
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City | RENO
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State | NV
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Zip | 89502-1672
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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 | CEO
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Name | DR. DANIEL GOLDEN
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Credential | MD
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Telephone | 725-272-6532
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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