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General NPI Number Information
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NPI Number | 1467378794
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Entity Type | Organization
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Legal Business Name | FACE TO FACE EVALS LUCKETTE PLLC
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Dates
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Enumeration Date | 06/29/2026
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Last Update Date | 06/29/2026
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Provider Practice Location Address
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Address Line | 9505 HILLWOOD DR STE 100
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City | LAS VEGAS
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State | NV
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Zip | 89134-0514
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Country | US
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Telephone | 702-409-6935
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Fax |
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Provider Business Mailing Address
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Address Line | 5840 W CRAIG RD STE 120 UNIT 388
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City | LAS VEGAS
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State | NV
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Zip | 89130-2562
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ADAM LUCKETTE
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Credential |
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Telephone | 702-406-6935
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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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