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General NPI Number Information
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NPI Number | 1902729882
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Entity Type | Individual
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Provider Name | CANDICE FALCON
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Gender | Female
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Dates
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Enumeration Date | 07/30/2026
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Last Update Date | 07/30/2026
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Provider Practice Location Address
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Address Line | 8915 S PECOS RD STE 17A
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City | HENDERSON
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State | NV
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Zip | 89074-7150
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Country | US
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Telephone | 833-215-8218
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Fax |
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Provider Business Mailing Address
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Address Line | 5020 RENO CT
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City | LAS VEGAS
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State | NV
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Zip | 89119-2243
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Country | US
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Telephone | 833-215-8218
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2086S0122X
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Taxonomy Name | Plastic and Reconstructive Surgery Physician
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License Number | 2013838.081-122
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License Number State | NV
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