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General NPI Number Information
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NPI Number | 1679271803
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Entity Type | Individual
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Provider Name | KAYLA LEKEISHA LEANN SWEENEY FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 02/16/2023
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Last Update Date | 02/16/2023
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Provider Practice Location Address
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Address Line | 7580 W SAHARA AVE FL 2
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City | LAS VEGAS
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State | NV
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Zip | 89117-2742
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Country | US
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Telephone | 702-445-6470
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Fax |
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Provider Business Mailing Address
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Address Line | 8370 COZUMEL CREEK CT
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City | LAS VEGAS
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State | NV
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Zip | 89113-4689
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Country | US
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Telephone | 276-690-6177
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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 | 817120
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License Number State | NV
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