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General NPI Number Information
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NPI Number | 1720602717
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Entity Type | Individual
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Provider Name | IESHA RENEA JAMES PA-C
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Gender | Female
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Dates
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Enumeration Date | 06/04/2020
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Last Update Date | 03/26/2025
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Provider Practice Location Address
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Address Line | 2212 S EASTERN AVE
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City | LAS VEGAS
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State | NV
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Zip | 89104-4124
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Country | US
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Telephone | 702-735-9334
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Fax | 702-735-9335
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Provider Business Mailing Address
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Address Line | 3325 RESEARCH WAY
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City | CARSON CITY
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State | NV
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Zip | 89706-7913
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Country | US
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Telephone | 702-220-9902
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA2310
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License Number State | NV
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