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General NPI Number Information
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NPI Number | 1972194611
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Entity Type | Organization
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Legal Business Name | VZ HEALTH AND WELLNESS
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Dates
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Enumeration Date | 01/26/2021
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Last Update Date | 01/26/2021
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Provider Practice Location Address
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Address Line | 330 S LOLA LN
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City | PAHRUMP
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State | NV
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Zip | 89048-0878
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Country | US
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Telephone | 702-277-1357
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Fax |
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Provider Business Mailing Address
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Address Line | 9420 STEELTREE ST
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City | LAS VEGAS
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State | NV
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Zip | 89143-1145
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Country | US
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Telephone | 702-808-9568
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | CYNTHIA RAE HOUTROUW
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Credential | APRN
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Telephone | 702-277-1357
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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