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General NPI Number Information
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NPI Number | 1144812439
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Entity Type | Organization
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Legal Business Name | LAS VEGAS HOME CARE
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Dates
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Enumeration Date | 02/08/2021
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Last Update Date | 02/08/2021
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Provider Practice Location Address
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Address Line | 2880 E FLAMINGO RD STE G
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City | LAS VEGAS
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State | NV
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Zip | 89121-5223
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Country | US
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Telephone | 702-890-0405
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Fax |
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Provider Business Mailing Address
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Address Line | 2880 E FLAMINGO RD STE G
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City | LAS VEGAS
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State | NV
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Zip | 89121-5223
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Country | US
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Telephone | 702-890-0405
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | STELLA SARKISYAN
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Credential |
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Telephone | 702-890-0405
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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