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General NPI Number Information
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NPI Number | 1174016836
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Entity Type | Organization
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Legal Business Name | AEGEUS HOME HEALTH AGENCY LLC
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Dates
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Enumeration Date | 06/07/2018
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Last Update Date | 06/07/2018
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Provider Practice Location Address
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Address Line | 3824 S JONES BLVD STE F
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City | LAS VEGAS
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State | NV
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Zip | 89103-2451
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Country | US
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Telephone | 702-470-3463
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Fax |
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Provider Business Mailing Address
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Address Line | 3360 PASO ANDRES ST
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City | LAS VEGAS
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State | NV
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Zip | 89146-6563
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Country | US
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Telephone | 702-470-3463
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | TEREZA ARAKELYAN
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Credential |
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Telephone | 702-470-3463
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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 |
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License Number State |
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