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NPI Code Detail

MEDICARE: EMILY DORIN

MEDICARE: EMILY DORIN
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
12084P0800XPsychiatry PhysicianDO3853NV

General Provider Information

NPI Number : 1285212654
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMILY DORIN
Provider Business Mailing Address
First Line : 11695 HATCHLING AVE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89138-6449
Country : US
Telephone Number : 619-379-2252
Fax Number :
Provider Business Practice Location Address
First Line : 6600 W CHARLESTON BLVD STE 142
Second Line :
City : LAS VEGAS
State : NV
Zip : 89146-1050
Country : US
Telephone Number : 702-440-8430
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/29/2021
Last Update Date : 06/13/2025

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Directions to “ EMILY DORIN ” Practice Location

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