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General NPI Number Information
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NPI Number | 1578210936
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Entity Type | Individual
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Provider Name | SAMANTHA-ROSE DE LEON LEE APRN, FNP-BC, CANS
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Gender | Female
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Dates
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Enumeration Date | 03/07/2022
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Last Update Date | 08/20/2025
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Provider Practice Location Address
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Address Line | 6930 S CIMARRON RD STE 220
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City | LAS VEGAS
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State | NV
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Zip | 89113-2135
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Country | US
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Telephone | 702-822-7400
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Fax |
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Provider Business Mailing Address
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Address Line | 4660 S EASTERN AVE STE 200
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City | LAS VEGAS
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State | NV
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Zip | 89119-6139
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Country | US
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Telephone | 725-300-7705
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 852106
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License Number State | NV
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