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General NPI Number Information
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NPI Number | 1912722653
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Entity Type | Organization
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Legal Business Name | INMUHEALTH COMMUNITY GROUP NV INC
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Dates
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Enumeration Date | 11/18/2024
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Last Update Date | 04/08/2025
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Provider Practice Location Address
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Address Line | 1098 E SAHARA AVE
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City | LAS VEGAS
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State | NV
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Zip | 89104-3220
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Country | US
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Telephone | 702-208-4923
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Fax | 725-262-2914
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Provider Business Mailing Address
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Address Line | 1098 E SAHARA AVE
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City | LAS VEGAS
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State | NV
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Zip | 89104-3220
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Country | US
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Telephone | 702-208-4923
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Fax | 725-262-2914
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Authorized Official
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Title or Position | CEO
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Name | MRS. NATALIA VEGA
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Credential |
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Telephone | 305-928-1111
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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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 | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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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 | 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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