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General NPI Number Information
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NPI Number | 1699577759
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Entity Type | Organization
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Legal Business Name | ARUGA HEALTH PLLC
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Dates
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Enumeration Date | 03/27/2025
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Last Update Date | 06/16/2025
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Provider Practice Location Address
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Address Line | 3545 S FORT APACHE RD STE 130
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City | LAS VEGAS
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State | NV
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Zip | 89147-3441
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Country | US
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Telephone | 702-553-1643
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Fax | 702-718-7991
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Provider Business Mailing Address
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Address Line | 3545 S FORT APACHE RD STE 130
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City | LAS VEGAS
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State | NV
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Zip | 89147-3441
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Country | US
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Telephone | 702-553-1643
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Fax | 702-718-7991
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Authorized Official
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Title or Position | FOUNDER, MEMBER
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Name | MA MARIANE GONDRANEOS REYES
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Credential | APRN
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Telephone | 702-553-1643
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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Taxonomy #2
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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 #3
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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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