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General NPI Number Information
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NPI Number | 1477387793
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Entity Type | Organization
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Legal Business Name | WELL NET TELEHEALTH PLLC
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Dates
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Enumeration Date | 08/28/2024
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Last Update Date | 08/28/2024
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Provider Practice Location Address
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Address Line | 2399 RADIO CITY ST
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City | LAS VEGAS
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State | NV
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Zip | 89135-1114
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Country | US
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Telephone | 702-406-1061
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Fax |
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Provider Business Mailing Address
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Address Line | 2399 RADIO CITY ST
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City | LAS VEGAS
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State | NV
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Zip | 89135-1114
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Country | US
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Telephone | 702-406-1061
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR/ACCESS MANAGER
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Name | JANE COX
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Credential | WELL NET TELEHEALTH
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Telephone | 949-664-2796
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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