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General NPI Number Information
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NPI Number | 1477437176
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Entity Type | Organization
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Legal Business Name | VEINS AND WELLNESS MEDICAL GROUP LLC
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Dates
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Enumeration Date | 08/05/2025
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Last Update Date | 08/24/2025
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Provider Practice Location Address
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Address Line | 8905 W POST RD STE 110
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City | LAS VEGAS
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State | NV
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Zip | 89148-2429
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Country | US
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Telephone | 702-859-3702
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Fax | 702-973-8014
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Provider Business Mailing Address
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Address Line | 6180 FOXES DALE ST
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City | LAS VEGAS
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State | NV
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Zip | 89166-8096
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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 | OWNER
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Name | MARTI LIRANZA CASIN
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Credential | APRN
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Telephone | 702-986-9255
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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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Taxonomy #2
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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