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General NPI Number Information
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NPI Number | 1548240443
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Entity Type | Organization
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Legal Business Name | WILLIAM NEAL EVANS MD LTD
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Dates
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Enumeration Date | 01/18/2006
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Last Update Date | 05/01/2025
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Provider Practice Location Address
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Address Line | 3131 LA CANADA ST STE 230
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City | LAS VEGAS
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State | NV
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Zip | 89169-2551
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Country | US
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Telephone | 702-732-1290
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Fax | 702-260-1926
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Provider Business Mailing Address
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Address Line | 3131 LA CANADA ST STE 230
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City | LAS VEGAS
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State | NV
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Zip | 89169-2551
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Country | US
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Telephone | 702-732-1290
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Fax | 702-260-1926
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Authorized Official
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Title or Position | CREDENTIALING MANAGER
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Name | LESLIE JOHNSON
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Credential |
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Telephone | 702-990-4821
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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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 | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 170300000X
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Taxonomy Name | Genetic Counselor (M.S.)
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 2080P0202X
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Taxonomy Name | Pediatric Cardiology Physician
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License Number |
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License Number State |
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