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General NPI Number Information
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NPI Number | 1962095281
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Entity Type | Organization
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Legal Business Name | COMBINED WELLNESS HEALTHPLUS PLLC
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Dates
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Enumeration Date | 02/17/2021
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Last Update Date | 02/17/2021
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Provider Practice Location Address
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Address Line | 2121 E FLAMINGO RD STE 204
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City | LAS VEGAS
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State | NV
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Zip | 89119-5124
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Country | US
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Telephone | 702-707-0679
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Fax |
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Provider Business Mailing Address
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Address Line | 2121 E FLAMINGO RD STE 204
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City | LAS VEGAS
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State | NV
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Zip | 89119-5124
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Country | US
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Telephone | 702-707-0679
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. MARTIN CHIBUEZE
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Credential | PHARMD
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Telephone | 702-969-3499
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number |
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License Number State |
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