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General NPI Number Information
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NPI Number | 1669305884
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Entity Type | Organization
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Legal Business Name | FOND HEARTS
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Dates
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Enumeration Date | 06/06/2026
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Last Update Date | 06/06/2026
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Provider Practice Location Address
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Address Line | 3923 VIA LUCIA DR
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City | LAS VEGAS
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State | NV
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Zip | 89115-0280
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Country | US
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Telephone | 314-327-5104
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Fax | 314-327-5104
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Provider Business Mailing Address
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Address Line | 3923 VIA LUCIA DR
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City | LAS VEGAS
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State | NV
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Zip | 89115-0280
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Country | US
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Telephone | 314-327-5104
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Fax | 314-327-5104
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. STEVEN M SLAUGHTER
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Credential | NA
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Telephone | 314-327-5104
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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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