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General NPI Number Information
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NPI Number | 1275070450
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Entity Type | Organization
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Legal Business Name | HOME CARE ASSISTANCE LAS VEGAS, LLC
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Dates
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Enumeration Date | 01/25/2017
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Last Update Date | 01/25/2017
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Provider Practice Location Address
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Address Line | 7795 W SAHARA AVE SUITE 106
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City | LAS VEGAS
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State | NV
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Zip | 89117-2790
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Country | US
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Telephone | 702-550-3185
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Fax | 702-550-3184
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Provider Business Mailing Address
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Address Line | 7795 W SAHARA AVE SUITE 106
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City | LAS VEGAS
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State | NV
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Zip | 89117-2790
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Country | US
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Telephone | 702-550-3185
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Fax | 702-550-3184
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Authorized Official
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Title or Position | OWNER
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Name | DR. JOHN LEUNG
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Credential | M.D.
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Telephone | 702-510-8170
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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 | 7864PCS-0
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License Number State | NV
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