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General NPI Number Information
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NPI Number | 1740072925
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Entity Type | Organization
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Legal Business Name | ORIELLE I LLC
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Dates
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Enumeration Date | 05/21/2025
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Last Update Date | 05/21/2025
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Provider Practice Location Address
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Address Line | 2675 S JONES BLVD STE 103
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City | LAS VEGAS
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State | NV
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Zip | 89146-5607
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Country | US
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Telephone | 408-833-3158
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Fax | 877-801-7494
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Provider Business Mailing Address
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Address Line | 10161 PARK RUN DR STE 150
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City | LAS VEGAS
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State | NV
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Zip | 89145-8872
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Country | US
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Telephone | 480-833-3158
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Fax | 877-801-7494
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Authorized Official
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Title or Position | COO
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Name | CHERRY M LEE
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Credential | APRN
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Telephone | 408-833-3158
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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