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General NPI Number Information
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NPI Number | 1992297006
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Entity Type | Organization
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Legal Business Name | MURAD M JUSSA MD PA CORP
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Dates
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Enumeration Date | 06/04/2018
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Last Update Date | 06/04/2018
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Provider Practice Location Address
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Address Line | 10301 JEFFREYS ST
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City | HENDERSON
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State | NV
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Zip | 89052-3922
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Country | US
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Telephone | 702-939-9400
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Fax |
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Provider Business Mailing Address
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Address Line | 2446 RAM CROSSING WAY
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City | HENDERSON
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State | NV
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Zip | 89074-8308
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Country | US
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Telephone | 702-270-3756
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MURAD M JUSSA
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Credential | MD
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Telephone | 702-270-3756
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 8871
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License Number State | NV
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