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General NPI Number Information
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NPI Number | 1104473248
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Entity Type | Organization
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Legal Business Name | APLO HEALTH AND AESTHETICS LLC
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Dates
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Enumeration Date | 08/22/2019
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Last Update Date | 02/27/2020
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Provider Practice Location Address
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Address Line | 2831 BUSINESS PARK CT STE 110
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City | LAS VEGAS
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State | NV
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Zip | 89128-9010
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Country | US
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Telephone | 702-713-5347
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Fax | 844-858-9345
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Provider Business Mailing Address
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Address Line | 10881 WOODS HOLE BAY ST
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City | LAS VEGAS
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State | NV
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Zip | 89179-1457
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | APRN
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Name | MRS. JENESA AGUILUZ-DIZON
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Credential |
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Telephone | 509-713-4619
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number |
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License Number State |
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