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General NPI Number Information
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NPI Number | 1205388477
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Entity Type | Organization
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Legal Business Name | CAF GROUP LLC
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Dates
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Enumeration Date | 11/03/2016
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Last Update Date | 11/03/2016
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Provider Practice Location Address
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Address Line | 701 N GREEN VALLEY PKWY SUITE 200
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City | HENDERSON
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State | NV
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Zip | 89074-6177
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Country | US
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Telephone | 888-270-8824
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Fax | 702-664-2001
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Provider Business Mailing Address
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Address Line | 701 N GREEN VALLEY PKWY SUITE 200
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City | HENDERSON
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State | NV
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Zip | 89074-6177
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | SUPERVISOR
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Name | PHYLLIS GOODWIN
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Credential |
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Telephone | 702-682-1511
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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 | NV20131244488
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License Number State | NV
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