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General NPI Number Information
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NPI Number | 1134065220
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Entity Type | Organization
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Legal Business Name | RELEAF PLLC
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Dates
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Enumeration Date | 04/28/2026
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Last Update Date | 04/28/2026
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Provider Practice Location Address
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Address Line | 807 SAN EDUARDO AVE
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City | HENDERSON
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State | NV
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Zip | 89002-9000
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Country | US
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Telephone | 702-280-6725
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Fax |
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Provider Business Mailing Address
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Address Line | 807 SAN EDUARDO AVE
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City | HENDERSON
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State | NV
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Zip | 89002-9000
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Country | US
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Telephone | 702-280-6725
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Fax |
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Authorized Official
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Title or Position | NURSE PRACTITIONER
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Name | JASMINE LAZARO
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Credential | NP
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Telephone | 702-280-6725
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WW0000X
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Taxonomy Name | Wound Care Registered Nurse
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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 | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #4
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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 #5
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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