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General NPI Number Information
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NPI Number | 1952357717
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Entity Type | Individual
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Provider Name | BERNARDO TISMINEZKY MD
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Gender | Male
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Dates
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Enumeration Date | 05/25/2006
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Last Update Date | 07/10/2025
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Provider Practice Location Address
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Address Line | 1800 W. CHARLESTON BLVD.
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City | LAS VEGAS
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State | NV
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Zip | 89102
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Country | US
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Telephone | 702-383-2000
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Fax | 702-667-4689
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Provider Business Mailing Address
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Address Line | 1800 W. CHARLESTON BLVD.
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City | LAS VEGAS
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State | NV
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Zip | 89102
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Country | US
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Telephone | 702-383-2000
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Fax | 702-667-4689
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 11435
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 13391-320
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License Number State | WI
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Taxonomy #3
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | MD-54120
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License Number State | IA
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Taxonomy #4
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 11435
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License Number State | NV
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