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NPI 1427822592

NPI 1427822592 : FONG PRECISION CARE PLLC : HENDERSON, NV

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General NPI Number Information
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    NPI Number           |    1427822592
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    Entity Type          |    Organization 
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    Legal Business Name  |    FONG PRECISION CARE PLLC 
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Dates
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    Enumeration Date     |    11/09/2023
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    Last Update Date     |    10/30/2025
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Provider Practice Location Address
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    Address Line         |    1485 W WARM SPRINGS RD STE 109B 
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    City                 |    HENDERSON
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    State                |    NV
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    Zip                  |    89014-7632
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    Country              |    US
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    Telephone            |    702-997-6764
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1485 W WARM SPRINGS RD STE 109B 
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    City                 |    HENDERSON
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    State                |    NV
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    Zip                  |    89014-7632
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    Country              |    US
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    Telephone            |    702-997-6764
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    Fax                  |    
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Authorized Official
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    Title or Position    |    CEO, FOUNDER
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    Name                 |     BIANCA CAMILLE  FONG 
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    Credential           |    NP
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    Telephone            |    702-997-6764
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261Q00000X
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    Taxonomy Name        |    Clinic/Center
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    License Number       |    
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    License Number State |    
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