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General NPI Number Information
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NPI Number | 1134002660
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Entity Type | Individual
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Provider Name | JENNIFER FLAMENCO LMSW
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Gender | Female
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Dates
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Enumeration Date | 07/30/2025
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Last Update Date | 07/30/2025
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Provider Practice Location Address
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Address Line | 2701 N TENAYA WAY STE 200
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City | LAS VEGAS
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State | NV
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Zip | 89128-0480
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Country | US
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Telephone | 702-757-8720
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Fax |
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Provider Business Mailing Address
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Address Line | 5362 PICO VIEJO ST
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City | LAS VEGAS
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State | NV
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Zip | 89166-8075
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Country | US
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Telephone | 702-353-2791
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 12546-M
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License Number State | NV
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