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General NPI Number Information
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NPI Number | 1801107040
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Entity Type | Individual
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Provider Name | DEEPA HASIJA M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/22/2010
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Last Update Date | 11/05/2025
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Provider Practice Location Address
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Address Line | 6171 W CHARLESTON BLVD BLDG 17
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City | LAS VEGAS
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State | NV
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Zip | 89146-1126
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Country | US
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Telephone | 702-582-8705
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Fax |
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Provider Business Mailing Address
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Address Line | 500 E WARM SPRINGS RD STE 100
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City | LAS VEGAS
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State | NV
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Zip | 89119-4345
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Country | US
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Telephone | 702-780-6200
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Fax | 888-433-5792
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 16250
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | A132235
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License Number State | CA
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