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General NPI Number Information
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NPI Number | 1609523570
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Entity Type | Organization
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Legal Business Name | COMPREHENSIVE FAMILY WELLNESS PLLC
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Dates
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Enumeration Date | 03/09/2022
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Last Update Date | 03/09/2022
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Provider Practice Location Address
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Address Line | 2321 PYRAMID WAY
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City | SPARKS
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State | NV
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Zip | 89431-8716
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Country | US
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Telephone | 325-500-5593
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Fax | 775-391-3239
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Provider Business Mailing Address
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Address Line | 2321 PYRAMID WAY
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City | SPARKS
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State | NV
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Zip | 89431-8716
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Country | US
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Telephone | 325-500-5593
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Fax | 775-391-3239
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Authorized Official
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Title or Position | OWNER
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Name | MR. ARMANDO LEE CRUZ
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Credential | MSN, FNP, NP-C
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Telephone | 325-500-5593
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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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