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General NPI Number Information
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NPI Number | 1033303615
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Entity Type | Organization
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Legal Business Name | SAHARA HOME HEALTH
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Dates
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Enumeration Date | 08/28/2007
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Last Update Date | 07/17/2019
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Provider Practice Location Address
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Address Line | 10501 W. GOWAN RD STE 170
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City | LAS VEGAS
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State | NV
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Zip | 89129
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Country | US
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Telephone | 702-902-2411
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Fax | 702-920-8224
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Provider Business Mailing Address
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Address Line | 10501 W. GOWAN RD STE 170
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City | LAS VEGAS
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State | NV
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Zip | 89129
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Country | US
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Telephone | 702-902-2411
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Fax | 702-920-8224
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | NONA LOTISTO BAUTISTA
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Credential |
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Telephone | 702-542-5286
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 4432HHA-0
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License Number State | NV
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