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General NPI Number Information
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NPI Number | 1720294440
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Entity Type | Individual
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Provider Name | SAMER SHUAIB MD
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Gender | Male
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Dates
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Enumeration Date | 05/16/2007
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Last Update Date | 09/16/2024
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Provider Practice Location Address
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Address Line | 8465 W SAHARA AVE # 111-606
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City | LAS VEGAS
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State | NV
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Zip | 89117-8960
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Country | US
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Telephone | 702-476-1516
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Fax | 646-572-8760
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Provider Business Mailing Address
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Address Line | 8465 W SAHARA AVE # 111-606
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City | LAS VEGAS
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State | NV
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Zip | 89117-8960
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Country | US
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Telephone | 702-476-1516
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Fax | 646-572-8760
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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 | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number | 20500
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License Number State | NV
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