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General NPI Number Information
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NPI Number | 1790134179
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Entity Type | Organization
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Legal Business Name | JUBERT C ARANAS LLC
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Dates
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Enumeration Date | 06/07/2016
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Last Update Date | 06/07/2016
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Provider Practice Location Address
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Address Line | 7460 S. RAINBOW BLVD. SUITE 100
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City | LAS VEGAS
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State | NV
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Zip | 89139
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Country | US
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Telephone | 702-900-7860
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Fax | 208-575-0303
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Provider Business Mailing Address
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Address Line | 522 WHITE HEART RD
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City | LAS VEGAS
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State | NV
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Zip | 89148-5277
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Country | US
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Telephone | 702-900-7860
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Fax | 208-575-0303
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Authorized Official
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Title or Position | OWNER
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Name | DR. JUBERT C ARANAS
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Credential | DDS
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Telephone | 702-338-1679
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 6711
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License Number State | NV
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