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General NPI Number Information
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NPI Number | 1922957638
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Entity Type | Organization
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Legal Business Name | MEDPLUS WELLNESS, LLC
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Dates
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Enumeration Date | 01/26/2026
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Last Update Date | 01/26/2026
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Provider Practice Location Address
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Address Line | 5052 S. JONES BLVD STE 145
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City | LAS VEGAS
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State | NV
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Zip | 89118-0556
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Country | US
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Telephone | 702-878-8888
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Fax |
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Provider Business Mailing Address
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Address Line | 3879 COLUMBUS ST
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City | LAS VEGAS
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State | NV
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Zip | 89121
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Country | US
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Telephone | 702-415-0197
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | SELENE ARCIGA DE DIAZ
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Credential |
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Telephone | 702-415-0197
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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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