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NPI 1487773537

NPI 1487773537 : JAMES C LEE LCSW : LAS VEGAS, NV

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General NPI Number Information
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    NPI Number           |    1487773537
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    Entity Type          |    Individual 
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    Provider Name        |    JAMES C LEE LCSW
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    03/28/2007
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    Last Update Date     |    07/15/2025
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Provider Practice Location Address
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    Address Line         |    1980 FESTIVAL PLAZA DR 
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    City                 |    LAS VEGAS
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    State                |    NV
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    Zip                  |    89135-2927
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    Country              |    US
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    Telephone            |    833-419-0181
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    6441 SOUTHERN PINE WAY 
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    City                 |    LAS VEGAS
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    State                |    NV
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    Zip                  |    89146-6657
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    Country              |    US
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    Telephone            |    301-606-8895
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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        |    1041C0700X
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    Taxonomy Name        |    Clinical Social Worker
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    License Number       |    5444-C
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    License Number State |    NV
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