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General NPI Number Information
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NPI Number | 1780679290
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Entity Type | Organization
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Legal Business Name | AL-FATH AHMED PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 09/12/2005
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Last Update Date | 04/02/2024
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Provider Practice Location Address
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Address Line | 7437 S EASTERN AVE # 611
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City | LAS VEGAS
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State | NV
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Zip | 89123-1538
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Country | US
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Telephone | 702-238-3465
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Fax | 702-548-7445
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Provider Business Mailing Address
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Address Line | 7437 S EASTERN AVE # 611
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City | LAS VEGAS
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State | NV
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Zip | 89123-1538
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Country | US
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Telephone | 702-583-5074
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Fax | 702-548-7445
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Authorized Official
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Title or Position | PRESIDENT
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Name | SALAHUDDIN AHMED
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Credential |
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Telephone | 702-583-5074
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207LC0200X
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Taxonomy Name | Critical Care Medicine (Anesthesiology) Physician
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License Number | 159008520-02
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 159008520-02
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License Number State | NV
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