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General NPI Number Information
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NPI Number | 1033983796
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Entity Type | Organization
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Legal Business Name | NEVADA STRUCTURED FAMILY SERVICES
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Dates
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Enumeration Date | 11/13/2023
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Last Update Date | 11/13/2023
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Provider Practice Location Address
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Address Line | 3960 HOWARD HUGHES PKWY STE 500
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City | LAS VEGAS
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State | NV
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Zip | 89169-5988
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Country | US
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Telephone | 678-661-1266
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Fax |
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Provider Business Mailing Address
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Address Line | 14037 N 153RD DR
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City | SURPRISE
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State | AZ
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Zip | 85379-8038
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Country | US
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Telephone | 678-661-1266
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | JEREMY LAWRENCE
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Credential |
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Telephone | 678-661-1266
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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 |
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License Number State |
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