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General NPI Number Information
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NPI Number | 1255621082
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Entity Type | Organization
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Legal Business Name | HARRIS & WILLIAMS INC.
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Dates
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Enumeration Date | 04/13/2011
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Last Update Date | 04/13/2011
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Provider Practice Location Address
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Address Line | 7473 W LAKE MEAD BLVD
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City | LAS VEGAS
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State | NV
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Zip | 89128-0265
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Country | US
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Telephone | 702-562-1287
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Fax | 702-562-1286
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Provider Business Mailing Address
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Address Line | 6908 AUKLET LN
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City | N LAS VEGAS
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State | NV
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Zip | 89084-2654
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Country | US
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Telephone | 702-562-1287
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Fax | 702-562-1286
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. ROSA LANDRY
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Credential | LPN
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Telephone | 702-562-1287
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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 | LPN12682
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License Number State | NV
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