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General NPI Number Information
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NPI Number | 1841582038
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Entity Type | Organization
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Legal Business Name | STEPHEN P DUBIN MD INC
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Dates
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Enumeration Date | 05/06/2011
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Last Update Date | 10/28/2020
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Provider Practice Location Address
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Address Line | 6230 MCLEOD DR STE 140-B
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City | LAS VEGAS
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State | NV
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Zip | 89120-4442
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Country | US
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Telephone | 702-736-2999
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Fax | 702-736-2199
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Provider Business Mailing Address
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Address Line | 5915 S RAINBOW BLVD STE 100
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City | LAS VEGAS
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State | NV
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Zip | 89118-2558
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Country | US
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Telephone | 702-362-9930
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Fax | 702-362-9954
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Authorized Official
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Title or Position | BUSINESS MGR
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Name | MISS STEPHEN P DUBIN
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Credential | MD
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Telephone | 702-362-9930
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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