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General NPI Number Information
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NPI Number | 1174313878
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Entity Type | Individual
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Provider Name | VANEET KAILEY
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Gender | Male
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Dates
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Enumeration Date | 05/07/2025
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Last Update Date | 05/07/2025
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Provider Practice Location Address
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Address Line | 1489 W WARM SPRINGS RD STE 110
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City | HENDERSON
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State | NV
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Zip | 89014-7367
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Country | US
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Telephone | 702-403-2124
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Fax |
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Provider Business Mailing Address
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Address Line | 55 LA FIESTA ST
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City | HENDERSON
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State | NV
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Zip | 89012-2606
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Country | US
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Telephone | 702-612-1381
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 837365
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License Number State | NV
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