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General NPI Number Information
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NPI Number | 1235040692
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Entity Type | Individual
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Provider Name | EDUANY CRUZ
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Gender | Male
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Dates
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Enumeration Date | 09/15/2026
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Last Update Date | 09/15/2026
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Provider Practice Location Address
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Address Line | 2200 PASEO VERDE PKWY STE 190
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City | HENDERSON
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State | NV
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Zip | 89052-2703
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Country | US
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Telephone | 561-531-7370
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Fax |
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Provider Business Mailing Address
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Address Line | 9523 CABOT FALLS AVE
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City | LAS VEGAS
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State | NV
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Zip | 89149-3724
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Country | US
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Telephone | 561-531-7370
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 815482
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License Number State | NV
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