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General NPI Number Information
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NPI Number | 1871026518
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Entity Type | Individual
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Provider Name | HEERAK KANG M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/10/2017
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Last Update Date | 08/05/2025
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Provider Practice Location Address
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Address Line | 9327 W SUNSET RD
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City | LAS VEGAS
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State | NV
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Zip | 89148-4845
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Country | US
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Telephone | 315-464-4570
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Fax |
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Provider Business Mailing Address
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Address Line | 9033 W SAHARA AVE
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City | LAS VEGAS
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State | NV
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Zip | 89117-5745
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Country | US
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Telephone | 702-476-9999
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Fax | 702-946-1343
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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 | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 307720
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number | 307720
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 208VP0000X
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Taxonomy Name | Pain Medicine Physician
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License Number | 27180
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License Number State | NV
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