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General NPI Number Information
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NPI Number | 1174283527
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Entity Type | Organization
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Legal Business Name | GSEVENLLC
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Dates
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Enumeration Date | 12/27/2021
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Last Update Date | 12/29/2021
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Provider Practice Location Address
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Address Line | 3180 ROWLAND ST
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City | LAS VEGAS
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State | NV
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Zip | 89108-4231
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Country | US
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Telephone | 702-207-3502
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Fax | 702-745-1957
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Provider Business Mailing Address
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Address Line | 1812 JAKE ANDREW AVE
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City | NORTH LAS VEGAS
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State | NV
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Zip | 89086-1370
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Country | US
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Telephone | 702-576-5235
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Fax |
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Authorized Official
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Title or Position | RN MANAGER /OWNER
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Name | HELEN GIPSON
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Credential |
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Telephone | 702-576-5235
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number |
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License Number State |
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