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General NPI Number Information
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NPI Number | 1144742800
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Entity Type | Organization
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Legal Business Name | L EMPEY DO NUCLEUS MEDICAL GROUP PLLC
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Dates
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Enumeration Date | 07/13/2017
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Last Update Date | 11/22/2017
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Provider Practice Location Address
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Address Line | 916 W OWENS AVE
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City | LAS VEGAS
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State | NV
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Zip | 89106-2516
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Country | US
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Telephone | 702-425-2792
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Fax | 702-410-5041
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Provider Business Mailing Address
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Address Line | 916 W OWENS AVE
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City | LAS VEGAS
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State | NV
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Zip | 89106-2516
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Country | US
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Telephone | 702-425-2792
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Fax | 702-410-5041
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | LONNIE R EMPEY
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Credential | DO
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Telephone | 702-425-2792
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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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