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General NPI Number Information
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NPI Number | 1093530248
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Entity Type | Individual
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Provider Name | DEVIN LEE-DORSEY
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Gender | Female
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Dates
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Enumeration Date | 11/21/2024
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Last Update Date | 08/12/2025
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Provider Practice Location Address
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Address Line | 8879 W FLAMINGO RD
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City | LAS VEGAS
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State | NV
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Zip | 89147-8755
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Country | US
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Telephone | 702-213-0007
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Fax |
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Provider Business Mailing Address
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Address Line | 1216 CALVERT ST
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City | HENDERSON
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State | NV
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Zip | 89002-3351
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Country | US
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Telephone | 702-813-2068
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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 | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number |
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License Number State |
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