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General NPI Number Information
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NPI Number | 1508709627
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Entity Type | Individual
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Provider Name | MRS. JASMINE ALEXIS PEREZ
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Gender | Female
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Dates
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Enumeration Date | 04/13/2026
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Last Update Date | 08/14/2026
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Provider Practice Location Address
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Address Line | 2810 W CHARLESTON BLVD STE 80
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City | LAS VEGAS
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State | NV
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Zip | 89102-1910
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Country | US
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Telephone | 702-742-1500
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Fax |
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Provider Business Mailing Address
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Address Line | 10100 W CHARLESTON BLVD STE 160
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City | LAS VEGAS
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State | NV
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Zip | 89135-5002
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Country | US
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Telephone | 858-504-1242
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | CI5682
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License Number State | NV
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