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General NPI Number Information
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NPI Number | 1124080411
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Entity Type | Organization
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Legal Business Name | PCAS OF NEVADA INC
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Dates
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Enumeration Date | 04/04/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1515 E TROPICANA AVE SUITE 690
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City | LAS VEGAS
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State | NV
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Zip | 89119-6517
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Country | US
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Telephone | 702-697-1200
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Fax | 702-697-1300
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Provider Business Mailing Address
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Address Line | 1515 E TROPICANA AVE SUITE 690
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City | LAS VEGAS
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State | NV
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Zip | 89119-6517
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Country | US
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Telephone | 702-697-1200
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Fax | 702-697-1300
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Authorized Official
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Title or Position | OWNER
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Name | MRS. MADYLEN CAROL CHESNUT
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Credential |
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Telephone | 702-697-1200
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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 | 1000020-319
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License Number State | NV
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