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General NPI Number Information
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NPI Number | 1013866185
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Entity Type | Organization
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Legal Business Name | POKROY MEDICAL GROUP OF NEVADA, LTD.
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Dates
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Enumeration Date | 01/22/2026
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Last Update Date | 01/23/2026
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Provider Practice Location Address
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Address Line | 657 N TOWN CENTER DR
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City | LAS VEGAS
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State | NV
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Zip | 89144-6367
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Country | US
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Telephone | 800-243-3839
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Fax |
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Provider Business Mailing Address
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Address Line | 1301 CONCORD TER
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City | SUNRISE
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State | FL
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Zip | 33323-2843
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Country | US
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Telephone | 800-243-3839
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Fax |
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Authorized Official
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Title or Position | ASSISTANT SECRATRY
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Name | OSCAR INGARAMO
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Credential |
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Telephone | 954-692-7590
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2080P0203X
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Taxonomy Name | Pediatric Critical Care Medicine Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 2084N0402X
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Taxonomy Name | Neurology with Special Qualifications in Child Neurology Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 207RA0002X
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Taxonomy Name | Adult Congenital Heart Disease Physician
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 2080N0001X
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Taxonomy Name | Neonatal-Perinatal Medicine Physician
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License Number |
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License Number State |
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