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General NPI Number Information
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NPI Number | 1508724212
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Entity Type | Organization
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Legal Business Name | LUMEYA MEDICAL CENTER LLC
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Dates
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Enumeration Date | 01/12/2026
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Last Update Date | 01/12/2026
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Provider Practice Location Address
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Address Line | 9141 IVORY BEACH DR
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City | LAS VEGAS
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State | NV
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Zip | 89147-6802
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Country | US
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Telephone | 702-624-6292
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Fax |
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Provider Business Mailing Address
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Address Line | 9141 IVORY BEACH DR
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City | LAS VEGAS
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State | NV
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Zip | 89147-6802
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Country | US
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Telephone | 702-624-6292
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | YADIRA HERNANDEZ LEON
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Credential |
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Telephone | 702-624-6292
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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