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General NPI Number Information
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NPI Number | 1447194246
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Entity Type | Organization
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Legal Business Name | ALONSO AND TAMAYO ELITE WOUND CARE CENTER, PLLC
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Dates
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Enumeration Date | 04/14/2026
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Last Update Date | 04/14/2026
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Provider Practice Location Address
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Address Line | 1941 JEFFERSON ST UNIT 104
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City | NORTH LAS VEGAS
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State | NV
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Zip | 89030-6960
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Country | US
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Telephone | 702-475-4352
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Fax |
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Provider Business Mailing Address
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Address Line | 1941 JEFFERSON ST UNIT 104
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City | NORTH LAS VEGAS
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State | NV
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Zip | 89030-6960
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | OSCAR ALONSO ODUARDO
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Credential | ALONSO ODUARDO
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Telephone | 702-475-4352
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WW0000X
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Taxonomy Name | Wound Care Registered Nurse
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License Number |
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License Number State |
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