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General NPI Number Information
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NPI Number | 1891465720
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Entity Type | Individual
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Provider Name | SHALEE CARTER LMSW
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Gender | Female
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Dates
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Enumeration Date | 09/13/2021
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Last Update Date | 09/13/2021
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Provider Practice Location Address
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Address Line | 3890 W ANN RD
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City | NORTH LAS VEGAS
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State | NV
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Zip | 89031-4416
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Country | US
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Telephone | 702-287-8895
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Fax |
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Provider Business Mailing Address
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Address Line | 5311 SPARKLING VINE AVE
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City | LAS VEGAS
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State | NV
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Zip | 89131-5287
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Country | US
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Telephone | 801-710-2076
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 1628P-M
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License Number State | NV
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