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General NPI Number Information
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NPI Number | 1972792075
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Entity Type | Individual
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Provider Name | ALAN B JAUREGUI APRN
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Gender | Male
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Dates
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Enumeration Date | 10/15/2007
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Last Update Date | 02/09/2017
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Provider Practice Location Address
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Address Line | 5876 S PECOS RD BUILDING B
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City | LAS VEGAS
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State | NV
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Zip | 89120-3418
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Country | US
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Telephone | 702-733-0744
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Fax | 702-796-8262
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Provider Business Mailing Address
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Address Line | 5876 S PECOS RD BUILDING B
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City | LAS VEGAS
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State | NV
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Zip | 89120-3418
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Country | US
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Telephone | 702-733-0744
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Fax | 702-796-8262
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | APRN000962
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN000962
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License Number State | NV
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Taxonomy #3
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | APRN000962
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License Number State | NV
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