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General NPI Number Information
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NPI Number | 1740475664
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Entity Type | Organization
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Legal Business Name | DAMAJ HORIZON VIEW MEDICAL CENTER, PC
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Dates
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Enumeration Date | 09/13/2007
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Last Update Date | 08/11/2020
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Provider Practice Location Address
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Address Line | 6170 N DURANGO DR STE 220
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City | LAS VEGAS
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State | NV
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Zip | 89149-3926
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Country | US
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Telephone | 702-641-8500
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Fax | 702-641-8502
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Provider Business Mailing Address
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Address Line | PO BOX 33166
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City | LAS VEGAS
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State | NV
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Zip | 89133-3166
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Country | US
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Telephone | 702-641-8500
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Fax |
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Authorized Official
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Title or Position | PRACTICE OWNER
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Name | NOUHAD DAMAJ
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Credential | MD
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Telephone | 702-641-8500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 10028
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License Number State | NV
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