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General NPI Number Information
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NPI Number | 1720446271
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Entity Type | Individual
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Provider Name | SHAINA NEAL
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Gender | Female
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Dates
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Enumeration Date | 01/29/2016
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Last Update Date | 04/24/2025
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Provider Practice Location Address
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Address Line | 5412 BOULDER HWY
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City | LAS VEGAS
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State | NV
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Zip | 89122-6039
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Country | US
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Telephone | 702-291-7121
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Fax |
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Provider Business Mailing Address
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Address Line | 3312 W CHARLESTON BLVD
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City | LAS VEGAS
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State | NV
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Zip | 89102-1829
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Country | US
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Telephone | 702-410-7825
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | CP5120-R
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License Number State | NV
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