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General NPI Number Information
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NPI Number | 1285131391
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Entity Type | Individual
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Provider Name | HERMAN LEE DO
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Gender | Male
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Dates
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Enumeration Date | 04/06/2018
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Last Update Date | 02/04/2026
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Provider Practice Location Address
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Address Line | 901 RANCHO LN STE 135
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City | LAS VEGAS
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State | NV
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Zip | 89106-3826
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Country | US
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Telephone | 415-307-0827
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Fax |
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Provider Business Mailing Address
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Address Line | 901 RANCHO LN STE 135
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City | LAS VEGAS
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State | NV
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Zip | 89106-3826
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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 |
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | DO3277
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | SL1381
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License Number State | NV
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Taxonomy #3
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 011818
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License Number State | AZ
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Taxonomy #4
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | DO2023-1101
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License Number State | NM
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