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General NPI Number Information
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NPI Number | 1992264972
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Entity Type | Individual
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Provider Name | LAUREL ANNE NEVILLE MD
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Gender | Female
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Dates
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Enumeration Date | 03/18/2019
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Last Update Date | 03/27/2025
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Provider Practice Location Address
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Address Line | 2202 W CRAIG RD
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City | NORTH LAS VEGAS
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State | NV
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Zip | 89032-3018
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Country | US
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Telephone | 27-826-3200
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Fax |
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Provider Business Mailing Address
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Address Line | 6213 CROMWELL AVE
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City | LAS VEGAS
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State | NV
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Zip | 89107-2527
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Country | US
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Telephone | 559-202-8781
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 22233
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | LL3317
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License Number State | NV
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Taxonomy #3
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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