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General NPI Number Information
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NPI Number | 1760068365
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Entity Type | Individual
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Provider Name | JIRAIR M BAGHDASSARIAN APRN
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Gender | Male
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Dates
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Enumeration Date | 03/23/2021
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Last Update Date | 08/21/2025
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Provider Practice Location Address
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Address Line | 3186 S MARYLAND PKWY
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City | LAS VEGAS
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State | NV
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Zip | 89109-2306
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Country | US
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Telephone | 702-961-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 3201 S MARYLAND PKWY STE 101
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City | LAS VEGAS
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State | NV
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Zip | 89109-2423
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Country | US
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Telephone | 702-910-6857
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Fax | 702-703-4043
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 838965
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License Number State | NV
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