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General NPI Number Information
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NPI Number | 1417755539
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Entity Type | Organization
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Legal Business Name | AR MEDICAL CENTER LLC
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Dates
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Enumeration Date | 03/04/2025
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Last Update Date | 03/04/2025
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Provider Practice Location Address
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Address Line | 3430 E FLAMINGO RD STE 300
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City | LAS VEGAS
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State | NV
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Zip | 89121-5066
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Country | US
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Telephone | 702-302-3570
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Fax |
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Provider Business Mailing Address
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Address Line | 5906 PACIFIC SHORES DR
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City | LAS VEGAS
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State | NV
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Zip | 89142-1641
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Country | US
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Telephone | 702-302-3570
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | AMAURY RODRIGUEZ-DOMINGUEZ
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Credential |
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Telephone | 702-302-3570
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LC1500X
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Taxonomy Name | Community Health Nurse Practitioner
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License Number |
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License Number State |
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