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General NPI Number Information
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NPI Number | 1235017179
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Entity Type | Organization
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Legal Business Name | TRAILWAYS PERSONAL CARE LLC
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Dates
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Enumeration Date | 08/26/2025
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Last Update Date | 08/26/2025
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Provider Practice Location Address
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Address Line | 3831 W CHARLESTON BLVD STE 318
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City | LAS VEGAS
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State | NV
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Zip | 89102-1859
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Country | US
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Telephone | 702-371-7970
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Fax |
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Provider Business Mailing Address
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Address Line | 4217 EL CONLON AVE
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City | LAS VEGAS
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State | NV
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Zip | 89102-0623
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Country | US
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Telephone | 702-371-7970
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. CRAIG AL HANCOCK II
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Credential |
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Telephone | 702-371-7970
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 372600000X
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Taxonomy Name | Adult Companion
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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 | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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