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General NPI Number Information
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NPI Number | 1902766751
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Entity Type | Organization
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Legal Business Name | GREATER LAS VEGAS VETERANS RESOUCE CENTER
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Dates
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Enumeration Date | 11/14/2025
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Last Update Date | 11/14/2025
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Provider Practice Location Address
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Address Line | 212 ALEXANDER AVE STE 8834
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City | LAS VEGAS
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State | NV
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Zip | 89106-2626
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Country | US
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Telephone | 725-326-3536
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Fax |
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Provider Business Mailing Address
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Address Line | 304 S JONES BLVD STE 8834
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City | LAS VEGAS
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State | NV
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Zip | 89107-2623
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Country | US
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Telephone | 725-346-6528
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Fax | 725-346-6528
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Authorized Official
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Title or Position | PASTORAL COUNSELOR
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Name | STEPHEN R LACEY
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Credential | D.DIV.
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Telephone | 725-346-6528
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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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