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General NPI Number Information
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NPI Number | 1174437545
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Entity Type | Organization
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Legal Business Name | SB ALWAYS YOUR DOCTOR LLC
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Dates
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Enumeration Date | 10/01/2026
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Last Update Date | 10/01/2026
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Provider Practice Location Address
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Address Line | 4560 S EASTERN AVE STE 13&14
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City | LAS VEGAS
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State | NV
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Zip | 89119-6182
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Country | US
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Telephone | 702-780-5920
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Fax | 725-206-5696
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Provider Business Mailing Address
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Address Line | 4560 S EASTERN AVE STE 13&14
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City | LAS VEGAS
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State | NV
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Zip | 89119-6182
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Country | US
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Telephone | 702-780-5920
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Fax | 725-206-5696
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Authorized Official
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Title or Position | MEMBER
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Name | HENRY MCKINLEY RUCKER
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Credential | APRN
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Telephone | 702-780-5920
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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 | NULL
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State | NULL
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Taxonomy #3
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State | NULL
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Taxonomy #4
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State | NULL
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Taxonomy #5
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number |
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License Number State | NULL
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