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General NPI Number Information
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NPI Number | 1942171418
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Entity Type | Organization
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Legal Business Name | MOJAVE HEALTHCARE PLLC
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Dates
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Enumeration Date | 09/16/2025
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Last Update Date | 09/16/2025
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Provider Practice Location Address
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Address Line | 801 S RANCHO DR STE A2
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City | LAS VEGAS
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State | NV
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Zip | 89106-3870
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Country | US
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Telephone | 702-483-3630
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Fax | 800-579-9591
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Provider Business Mailing Address
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Address Line | 801 S RANCHO DR STE A2
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City | LAS VEGAS
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State | NV
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Zip | 89106-3870
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Country | US
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Telephone | 702-483-3630
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Fax | 800-579-9591
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Authorized Official
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Title or Position | MANAGER / OWNER
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Name | DR. SALVADOR BORROMEO III
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Credential | MD
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Telephone | 702-524-8564
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number |
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License Number State |
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