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General NPI Number Information
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NPI Number | 1356131593
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Entity Type | Organization
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Legal Business Name | COMPREHENSIVE MEDICAL GROUP LLC
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Dates
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Enumeration Date | 05/09/2025
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Last Update Date | 11/18/2025
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Provider Practice Location Address
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Address Line | 3867 S VALLEY VIEW BLVD STE 3
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City | LAS VEGAS
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State | NV
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Zip | 89103-2924
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Country | US
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Telephone | 702-758-7628
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Fax |
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Provider Business Mailing Address
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Address Line | 4220 SAXTON GREEN AVE
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City | LAS VEGAS
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State | NV
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Zip | 89141-4354
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Country | US
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Telephone | 702-983-6674
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Fax |
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Authorized Official
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Title or Position | PRACTICE OWNER
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Name | EVANGELINE DE GUZMAN-DELALUZ
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Credential |
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Telephone | 702-983-6674
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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