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General NPI Number Information
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NPI Number | 1215552468
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Entity Type | Organization
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Legal Business Name | ALOHO PARADISE CARE LLC
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Dates
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Enumeration Date | 06/13/2020
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Last Update Date | 06/13/2020
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Provider Practice Location Address
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Address Line | 1809 WESTWIND RD
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City | LAS VEGAS
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State | NV
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Zip | 89146-0304
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Country | US
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Telephone | 702-629-6247
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Fax | 702-629-7659
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Provider Business Mailing Address
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Address Line | 1809 WESTWIND RD
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City | LAS VEGAS
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State | NV
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Zip | 89146-0304
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Country | US
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Telephone | 702-629-6247
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Fax | 702-629-7659
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Authorized Official
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Title or Position | OWNER
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Name | KEVIN SALES
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Credential |
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Telephone | 702-629-6247
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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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