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General NPI Number Information
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NPI Number | 1932745668
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Entity Type | Organization
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Legal Business Name | SOUTHERN NEVADA HEALTH DISTRICT
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Dates
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Enumeration Date | 11/18/2019
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Last Update Date | 10/22/2025
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Provider Practice Location Address
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Address Line | 280 S DECATUR BLVD
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City | LAS VEGAS
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State | NV
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Zip | 89107-2936
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Country | US
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Telephone | 702-759-1686
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Fax |
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Provider Business Mailing Address
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Address Line | 280 S DECATUR BLVD
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City | LAS VEGAS
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State | NV
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Zip | 89107-2936
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Country | US
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Telephone | 702-759-1000
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Fax |
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Authorized Official
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Title or Position | DISTRICT HEATH OFFICER
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Name | DR. CASSIUS LOCKETT
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Credential |
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Telephone | 702-759-1691
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number |
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License Number State |
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