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General NPI Number Information
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NPI Number | 1255213971
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Entity Type | Organization
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Legal Business Name | OPTIMIZE HEALTH LLC
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Dates
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Enumeration Date | 07/23/2025
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Last Update Date | 07/23/2025
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Provider Practice Location Address
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Address Line | 7373 PEAK DR STE 230
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City | LAS VEGAS
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State | NV
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Zip | 89128-9012
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Country | US
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Telephone | 775-406-8998
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Fax |
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Provider Business Mailing Address
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Address Line | 11035 LAVENDER HILL DR STE 160-154
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City | LAS VEGAS
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State | NV
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Zip | 89135-2955
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | FAMILY NURSE PRACTITIONER
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Name | LILIANA LACAYO
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Credential | APRN-CNP
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Telephone | 775-406-8998
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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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 | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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