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General NPI Number Information
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NPI Number | 1922395649
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Entity Type | Individual
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Provider Name | JENNY KATHLEEN GOBER MCDANIEL MD
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Gender | Female
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Dates
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Enumeration Date | 07/01/2011
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Last Update Date | 07/29/2025
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Provider Practice Location Address
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Address Line | 8352 W WARM SPRINGS RD STE 200
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City | LAS VEGAS
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State | NV
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Zip | 89113-3629
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Country | US
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Telephone | 702-330-0555
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Fax | 702-832-1128
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Provider Business Mailing Address
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Address Line | 8352 W WARM SPRINGS RD STE 200
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City | LAS VEGAS
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State | NV
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Zip | 89113-3629
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Country | US
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Telephone | 702-330-0555
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Fax | 702-832-1128
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | LL33830
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 2017-01884
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 2080P0207X
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Taxonomy Name | Pediatric Hematology & Oncology Physician
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License Number | 2017-01884
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License Number State | NC
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Taxonomy #4
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Taxonomy Code | 2080P0207X
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Taxonomy Name | Pediatric Hematology & Oncology Physician
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License Number | 26872
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License Number State | NV
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