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General NPI Number Information
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NPI Number | 1821884727
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Entity Type | Organization
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Legal Business Name | DR KEVIN SLAUGHTER PLLC
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Dates
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Enumeration Date | 04/17/2025
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Last Update Date | 05/28/2025
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Provider Practice Location Address
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Address Line | 3672 N RANCHO DR
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City | LAS VEGAS
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State | NV
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Zip | 89130-3149
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Country | US
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Telephone | 702-541-4881
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Fax |
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Provider Business Mailing Address
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Address Line | 9550 S EASTERN AVE STE 248
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City | LAS VEGAS
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State | NV
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Zip | 89123-8041
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Country | US
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Telephone | 702-541-4881
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. KEVIN SLAUGHTER
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Credential | DO
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Telephone | 702-336-4611
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 172V00000X
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Taxonomy Name | Community Health Worker
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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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 | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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