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NPI Code Detail

MEDICARE: DEBORAH LYNN FENIMORE

MEDICARE: DEBORAH LYNN FENIMORE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerIC-2958NV

General Provider Information

NPI Number : 1437087798
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEBORAH LYNN FENIMORE
Provider Business Mailing Address
First Line : 6443 LOKAI AVE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89130-1259
Country : US
Telephone Number : 702-353-1246
Fax Number :
Provider Business Practice Location Address
First Line : 6443 LOKAI AVE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89130-1259
Country : US
Telephone Number : 702-353-1246
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/08/2026
Last Update Date : 05/08/2026

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Directions to “ DEBORAH LYNN FENIMORE ” Practice Location

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