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General NPI Number Information
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NPI Number | 1124577127
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Entity Type | Organization
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Legal Business Name | MELO HEALTH SYSTEMS LLC
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Dates
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Enumeration Date | 10/02/2016
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Last Update Date | 10/02/2016
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Provider Practice Location Address
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Address Line | 1771 E FLAMINGO RD SUITE 119B
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City | LAS VEGAS
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State | NV
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Zip | 89119-5155
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Country | US
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Telephone | 702-217-2676
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Fax |
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Provider Business Mailing Address
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Address Line | 1771 E FLAMINGO RD SUITE 119B
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City | LAS VEGAS
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State | NV
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Zip | 89119-5155
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Country | US
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Telephone | 702-217-2676
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. ALLEN PATCHOLO MELO MENDOZA
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Credential |
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Telephone | 702-217-2676
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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 | 8612-HHA-0
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License Number State | NV
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