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General NPI Number Information
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NPI Number | 1780542738
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Entity Type | Organization
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Legal Business Name | MOZO HEALTH & WELLNESS CLINIC LLC
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Dates
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Enumeration Date | 01/09/2026
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Last Update Date | 01/09/2026
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Provider Practice Location Address
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Address Line | 4680 S EASTERN AVE STE B
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City | LAS VEGAS
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State | NV
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Zip | 89119-6192
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Country | US
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Telephone | 786-262-6408
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Fax |
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Provider Business Mailing Address
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Address Line | 7575 W WASHINGTON AVE STE 127-136
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City | LAS VEGAS
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State | NV
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Zip | 89128-4333
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Country | US
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Telephone | 786-262-6408
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Fax |
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Authorized Official
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Title or Position | OWNDER
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Name | LEOPOLDO C MOZO SOLER
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Credential |
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Telephone | 786-262-6408
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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