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General NPI Number Information
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NPI Number | 1720013006
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Entity Type | Organization
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Legal Business Name | PLON SPACCAVENTO & ASSOCIATES, LTD
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Dates
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Enumeration Date | 07/12/2006
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Last Update Date | 04/15/2025
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Provider Practice Location Address
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Address Line | 7385 S PECOS RD
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City | LAS VEGAS
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State | NV
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Zip | 89120-3768
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Country | US
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Telephone | 702-796-4278
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Fax | 702-737-9286
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Provider Business Mailing Address
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Address Line | 7385 S PECOS RD
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City | LAS VEGAS
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State | NV
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Zip | 89120-3768
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Country | US
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Telephone | 702-796-4278
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Fax | 27-379-2867
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. LEO SPACCAVENTO
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Credential | MD
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Telephone | 702-796-4278
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number | 1000117650
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License Number State | NV
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