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General NPI Number Information
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NPI Number | 1659194116
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Entity Type | Organization
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Legal Business Name | EPIC BRAIN CENTERS - LUU PLLC
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Dates
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Enumeration Date | 11/04/2024
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Last Update Date | 11/06/2025
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Provider Practice Location Address
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Address Line | 2017 PINTO LN
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City | LAS VEGAS
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State | NV
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Zip | 89106-4018
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Country | US
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Telephone | 702-333-2620
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Fax |
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Provider Business Mailing Address
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Address Line | 2017 PINTO LN
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City | LAS VEGAS
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State | NV
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Zip | 89106-4018
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Country | US
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Telephone | 775-227-0455
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Fax |
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Authorized Official
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Title or Position | MANAGER / OWNER
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Name | VU LUU
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Credential | MD
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Telephone | 702-292-3931
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0301X
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Taxonomy Name | Brain Injury Medicine (Psychiatry & Neurology) Physician
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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 | 202D00000X
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Taxonomy Name | Integrative Medicine Physician
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License Number |
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License Number State |
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