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General NPI Number Information
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NPI Number | 1508787441
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Entity Type | Organization
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Legal Business Name | UNION FAMILY HEALTH CENTER, LLC
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Dates
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Enumeration Date | 07/24/2026
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Last Update Date | 07/24/2026
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Provider Practice Location Address
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Address Line | 51 N PECOS RD STE 110
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City | LAS VEGAS
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State | NV
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Zip | 89101-4819
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Country | US
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Telephone | 702-964-7077
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Fax |
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Provider Business Mailing Address
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Address Line | 808 N LAMB BLVD # 230
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City | LAS VEGAS
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State | NV
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Zip | 89110-2304
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Country | US
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Telephone | 702-964-7077
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Fax |
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Authorized Official
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Title or Position | CHIEF OPERATING OFFICER
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Name | LANCE CLEMONS
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Credential | COO
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Telephone | 702-964-7077
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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