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NPI Code Detail

MEDICARE: JON JASON DUHAYLUNGSOD

MEDICARE:   JON JASON  DUHAYLUNGSOD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225200000XPhysical Therapy AssistantA-1848NV

General Provider Information

NPI Number : 1265387120
Entity Type Code : Individual
Provider Name (Legal Business Name) : JON JASON DUHAYLUNGSOD
Provider Business Mailing Address
First Line : 3846 SORROWING SPARROW CT
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89032-9067
Country : US
Telephone Number : 702-236-9632
Fax Number :
Provider Business Practice Location Address
First Line : 3846 SORROWING SPARROW CT
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89032-9067
Country : US
Telephone Number : 702-236-9632
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/04/2026
Last Update Date : 03/04/2026

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Directions to “ JON JASON DUHAYLUNGSOD ” Practice Location

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