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General NPI Number Information
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NPI Number | 1316217037
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Entity Type | Organization
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Legal Business Name | DIGNIFIED CARE INCORPORATED
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Dates
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Enumeration Date | 01/11/2012
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Last Update Date | 01/11/2012
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Provider Practice Location Address
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Address Line | 807 S DECATUR BLVD
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City | LAS VEGAS
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State | NV
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Zip | 89107-3933
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Country | US
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Telephone | 702-558-2273
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Fax | 702-873-8277
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Provider Business Mailing Address
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Address Line | 807 S DECATUR BLVD
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City | LAS VEGAS
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State | NV
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Zip | 89107-3933
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Country | US
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Telephone | 702-558-2273
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Fax | 702-873-8277
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | TRACIE WOLF
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Credential |
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Telephone | 702-558-2273
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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 |
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License Number State |
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