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General NPI Number Information
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NPI Number | 1194355107
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Entity Type | Individual
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Provider Name | LEAH GAITHO PMHNP/FNP
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Gender | Female
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Dates
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Enumeration Date | 01/17/2020
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Last Update Date | 11/11/2025
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Provider Practice Location Address
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Address Line | 6605 GRAND MONTECITO PKWY
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City | LAS VEGAS
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State | NV
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Zip | 89149-0210
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Country | US
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Telephone | 702-867-6077
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Fax | 808-480-7590
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Provider Business Mailing Address
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Address Line | 1050 E FLAMINGO RD # 1173
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City | LAS VEGAS
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State | NV
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Zip | 89119-7427
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Country | US
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Telephone | 702-318-7920
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 828160
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 828160
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License Number State | NV
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