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General NPI Number Information
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NPI Number | 1598615643
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Entity Type | Organization
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Legal Business Name | TRUCARE MEDICAL GROUP PLLC
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Dates
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Enumeration Date | 01/29/2026
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Last Update Date | 01/29/2026
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Provider Practice Location Address
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Address Line | 801 S RANCHO DR STE B2
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City | LAS VEGAS
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State | NV
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Zip | 89106-3860
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Country | US
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Telephone | 702-580-7997
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Fax |
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Provider Business Mailing Address
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Address Line | 801 S RANCHO DR STE B2
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City | LAS VEGAS
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State | NV
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Zip | 89106-3860
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Country | US
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Telephone | 702-580-7997
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Fax |
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Authorized Official
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Title or Position | OWNER/CEO
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Name | JACQUELINE GARALDE WALKER
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Credential | FNP-C
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Telephone | 702-580-7997
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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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 | 208VP0000X
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Taxonomy Name | Pain Medicine Physician
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License Number |
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License Number State |
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Taxonomy #3
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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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