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General NPI Number Information
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NPI Number | 1922603869
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Entity Type | Organization
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Legal Business Name | MD ALLIANCE LLC
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Dates
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Enumeration Date | 11/30/2020
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Last Update Date | 12/29/2021
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Provider Practice Location Address
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Address Line | 7380 W SAHARA AVE STE 160
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City | LAS VEGAS
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State | NV
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Zip | 89117-2762
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Country | US
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Telephone | 702-779-6800
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Fax | 702-781-1700
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Provider Business Mailing Address
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Address Line | 851 S RAMPART BLVD STE 100
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City | LAS VEGAS
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State | NV
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Zip | 89145-4883
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Country | US
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Telephone | 702-357-8004
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | STUART BAIRD
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Credential | MD
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Telephone | 409-370-7285
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number |
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License Number State |
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