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General NPI Number Information
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NPI Number | 1154768646
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Entity Type | Organization
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Legal Business Name | A COMPASSIONATE HEALTHCARE LLC
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Dates
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Enumeration Date | 05/24/2013
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Last Update Date | 05/24/2013
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Provider Practice Location Address
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Address Line | 6180 W.VIKING RD
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City | LAS VEGAS
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State | NV
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Zip | 89178
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Country | US
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Telephone | 702-234-9088
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Fax |
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Provider Business Mailing Address
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Address Line | 9745 MONTCLAIR HEIGHTS CT
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City | LAS VEGAS
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State | NV
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Zip | 89178-7509
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Country | US
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Telephone | 702-234-9088
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Fax |
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Authorized Official
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Title or Position | ADMENISTRETOR
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Name | MS. SHARIFA G WAHAB
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Credential |
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Telephone | 702-234-9088
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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 | NV20121335447
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License Number State | NV
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