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General NPI Number Information
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NPI Number | 1255783403
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Entity Type | Organization
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Legal Business Name | VALUEHEALTH MOBILE GROUP INC.
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Dates
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Enumeration Date | 07/11/2016
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Last Update Date | 11/20/2018
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Provider Practice Location Address
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Address Line | 2300 W SAHARA AVE SUITE 800
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City | LAS VEGAS
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State | NV
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Zip | 89102-4352
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Country | US
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Telephone | 702-489-4996
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Fax |
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Provider Business Mailing Address
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Address Line | 2300 W SAHARA AVE SUITE 800
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City | LAS VEGAS
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State | NV
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Zip | 89102-4352
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Country | US
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Telephone | 702-489-4996
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Fax |
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Authorized Official
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Title or Position | MANAGING DIRECTOR
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Name | MRS. JULIETA PASIMIO
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Credential |
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Telephone | 702-971-2237
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | APRN001480
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License Number State | NV
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