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General NPI Number Information
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NPI Number | 1073307997
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Entity Type | Individual
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Provider Name | SEQUOYAH LATREICE TOMLINSON LPN
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Gender | Female
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Dates
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Enumeration Date | 04/07/2025
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Last Update Date | 04/07/2025
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Provider Practice Location Address
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Address Line | 5425 PIPERS STONE ST
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City | NORTH LAS VEGAS
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State | NV
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Zip | 89031-0756
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Country | US
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Telephone | 414-248-3618
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Fax | 213-566-4711
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Provider Business Mailing Address
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Address Line | 5425 PIPERS STONE ST
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City | NORTH LAS VEGAS
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State | NV
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Zip | 89031-0756
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Country | US
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Telephone | 414-248-3618
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Fax | 213-566-4711
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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 | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | 323642
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | 826199
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License Number State | NV
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