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General NPI Number Information
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NPI Number | 1801723580
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Entity Type | Individual
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Provider Name | SAVANNAH LEE CNA
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Gender |
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Dates
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Enumeration Date | 05/06/2026
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Last Update Date | 05/06/2026
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Provider Practice Location Address
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Address Line | 3100 S NEEDLES HWY
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City | LAUGHLIN
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State | NV
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Zip | 89029-0814
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Country | US
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Telephone | 702-703-1262
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Fax |
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Provider Business Mailing Address
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Address Line | 450 S 900 E STE 100
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City | SALT LAKE CITY
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State | UT
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Zip | 84102-2983
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Country | US
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Telephone | 385-252-3010
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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 | 376K00000X
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Taxonomy Name | Nurse's Aide
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License Number | 900532
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License Number State | NV
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