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General NPI Number Information
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NPI Number | 1376341388
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Entity Type | Organization
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Legal Business Name | HEALTHV1BES, LLC
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Dates
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Enumeration Date | 03/05/2025
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Last Update Date | 03/06/2025
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Provider Practice Location Address
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Address Line | 1641 E FLAMINGO RD STE 14
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City | LAS VEGAS
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State | NV
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Zip | 89119-5257
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Country | US
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Telephone | 702-600-3671
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Fax |
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Provider Business Mailing Address
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Address Line | 7124 HONEYSUCKLE CT
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City | LAS VEGAS
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State | NV
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Zip | 89119-0328
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Country | US
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Telephone | 702-888-2913
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | RACHELL ANNE NUNEZ AGAS
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Credential | APRN
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Telephone | 702-600-3671
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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