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General NPI Number Information
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NPI Number | 1962205013
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Entity Type | Organization
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Legal Business Name | MLM MEDICAL SERVICES PLLC
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Dates
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Enumeration Date | 03/31/2025
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Last Update Date | 11/03/2025
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Provider Practice Location Address
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Address Line | 55 S VALLE VERDE DR STE 265
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City | HENDERSON
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State | NV
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Zip | 89012-3434
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Country | US
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Telephone | 702-860-5388
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Fax |
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Provider Business Mailing Address
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Address Line | 267 OAKBROOK RIDGE AVE
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City | HENDERSON
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State | NV
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Zip | 89002-3394
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Country | US
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Telephone | 702-860-5388
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Fax |
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Authorized Official
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Title or Position | CO-CEO
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Name | MR. MARCUS CONRAD MCCOMAS
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Credential | APRN
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Telephone | 702-860-5388
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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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 | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number |
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License Number State |
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