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General NPI Number Information
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NPI Number | 1053110064
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Entity Type | Organization
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Legal Business Name | RAINBOW ASSISTING LIVING LLC
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Dates
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Enumeration Date | 03/11/2025
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Last Update Date | 03/12/2025
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Provider Practice Location Address
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Address Line | 6641 MINERS HOPE DR
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City | LAS VEGAS
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State | NV
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Zip | 89108-1889
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Country | US
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Telephone | 702-468-0197
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Fax | 702-463-4455
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Provider Business Mailing Address
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Address Line | 6641 MINERS HOPE DR
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City | LAS VEGAS
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State | NV
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Zip | 89108-1889
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Country | US
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Telephone | 702-468-0197
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Fax | 702-463-4455
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Authorized Official
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Title or Position | CEO
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Name | MRS. MARINA MARTINEZ
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Credential |
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Telephone | 702-468-0197
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311500000X
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Taxonomy Name | Alzheimer Center (Dementia Center)
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License Number |
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License Number State |
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