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General NPI Number Information
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NPI Number | 1174205322
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Entity Type | Organization
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Legal Business Name | VALLEY OF FIRE CONSULTING LLC
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Dates
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Enumeration Date | 08/07/2023
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Last Update Date | 08/07/2023
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Provider Practice Location Address
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Address Line | 1515 E TROPICANA AVE STE 655
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City | LAS VEGAS
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State | NV
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Zip | 89119-6523
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Country | US
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Telephone | 808-783-3278
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Fax |
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Provider Business Mailing Address
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Address Line | 1515 E TROPICANA AVE STE 655
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City | LAS VEGAS
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State | NV
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Zip | 89119-6523
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Country | US
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Telephone | 808-783-3278
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Fax |
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Authorized Official
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Title or Position | DON/OWNER
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Name | EDSEL GAY PINPIN TUMBAGON MARTINEZ
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Credential | RN
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Telephone | 808-783-3278
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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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