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General NPI Number Information
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NPI Number | 1245983055
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Entity Type | Organization
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Legal Business Name | MEANINGFUL LENS THERAPEUTIC SERVICES
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Dates
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Enumeration Date | 02/01/2022
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Last Update Date | 11/22/2025
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Provider Practice Location Address
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Address Line | 9849 FOUNTAIN WALK AVE
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City | LAS VEGAS
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State | NV
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Zip | 89149-3758
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Country | US
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Telephone | 702-720-6638
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Fax |
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Provider Business Mailing Address
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Address Line | 6210 N JONES BLVD UNIT 750011
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City | LAS VEGAS
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State | NV
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Zip | 89136-8805
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Country | US
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Telephone | 702-720-6638
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Fax |
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Authorized Official
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Title or Position | LICENSED THERAPIST
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Name | CHRISTINA DUKE
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Credential | CPC
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Telephone | 702-720-6638
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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